Organization
AMY SHANDY SPEECH LANGUAGE PATHOLOGY
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
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 597-0822
(719) 599-4606
Mailing address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320
(719) 597-0822
(719) 599-4606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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