Organization
AMY SHANDY SPEECH LANGUAGE PATHOLOGIST
Active
Other names
The Shandy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA NEWMAN (BILLING MANAGER)
(719) 597-0822
Entity
Organization
Contact information
Practice address
8540 SCARBOROUGH DRIVE, SUITE 290, COLORADO SPRINGS, CO 80920
(719) 597-0822
(719) 599-4606
Mailing address
8540 SCARBOROUGH DRIVE, SUITE 290, COLORADO SPRINGS, CO 80920
(719) 597-0822
(719) 599-4606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
09122115
—
235Z00000X
Speech-Language Pathologist
Primary
20051321398
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12000256
—
CO
05
—
28678737
—
CO
Enumeration date
11/15/2006
Last updated
09/15/2020
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