Individual
AMY JONES BEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
746 INDIAN TRL, MARTINSVILLE, VA 24112-4520
(276) 403-5820
Mailing address
1914 DUNDEE LN, MARTINSVILLE, VA 24112-5612
(804) 651-1894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004161
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202004161
—
VA
Enumeration date
04/18/2018
Last updated
09/29/2021
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