Organization
AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
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
17230 JACKSON CREEK PKWY STE 220, MONUMENT, CO 80132-7304
(719) 597-0822
(719) 599-4606
Mailing address
685 CITADEL DR E STE 580, COLORADO SPRINGS, CO 80909-5381
(719) 597-0822
(719) 599-4606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12000256
—
CO
Enumeration date
09/14/2020
Last updated
09/14/2020
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