AMANDA ROSE MAXIM


Address: 1104 Bob Mccullough Dr, Ashland, KY 41102-9275
Phone: 6069284141

AMANDA ROSE MAXIM (NPI# 1073093092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073093092
Entity Type Individual
Full Name AMANDA ROSE MAXIM
Credential M.S., CCC-SLP
Practice Address 1104 Bob Mccullough Dr
Ashland
KY 41102-9275
Mailing Address 8114 Country View Dr
Ashland
KY 41102-9738
Practice Telephone 6069284141
Mailing Telephone 3042161119
Enumeration Date 2018-08-20
Last Update Date 2020-03-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
522 Glenwood Ave, New Boston, OH 456625505 7403547761

Office Location

Street Address 1104 BOB MCCULLOUGH DR
City ASHLAND
State KY
Zip Code 41102-9275

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275145807 Logan Kevin Payton Speech-Language Pathologist 2801 Adams Avenue, Ashland, KY 41102 2020-08-17
1902424203 Charles Russell Stewart Technician 2613 Piqua St., Ashland, KY 41102 2020-07-13
1235660069 Brittni Parsons Social Worker 6417 State Route 60, Ashland, KY 41102 2017-03-23
1013450212 A Center 4 Change Counselor 5900 Us Highway 60 West, Suite B, Ashland, KY 41102 2016-11-21
1437600814 Ashland Hospital Corporation Physician Assistant 3215 South 29th St, Ashland, KY 41102 2016-10-20
1174074553 Ashland Hospital Corporation Physician Assistant 1100 Bob Mccullough Dr, Ashland, KY 41102 2016-10-20
1598120495 David Zachary Porter Counselor 3728 Peachtree Rd, Ashland, KY 41102 2015-12-18
1326465147 Erik Mullins Physical Therapy Assistant 2800 Pleasant Avenue, Ashland, KY 41102 2014-03-19
1508095639 Kentucky Medical Logistics Inc Ambulance 425 22nd Street, Ashland, KY 41102 2009-07-10
1184872608 Carolyn Jayne Estepp Nurse Practitioner 12470 Us 60, Ashland, KY 41102 2008-09-09
Find all providers in zip 41102

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483633 Britt Elizabeth Vida Hory Speech-Language Pathologist 635 County Road 801, Ashland, OH 44805-9571 2020-10-05
1184238719 Traci Christine Henry Speech-Language Pathologist 5275 Redtail Dr, Ashland, MO 65010-2102 2020-09-01
1275145807 Logan Kevin Payton Speech-Language Pathologist 2801 Adams Avenue, Ashland, KY 41102 2020-08-17
1467006585 Ashley Nicole Stender Speech-Language Pathologist 2701 Terrace Blvd, Ashland, KY 41102-6155 2019-07-26
1972075711 Jamie Griffith Speech-Language Pathologist 12007 Cedar Ln, Ashland, VA 23005-7522 2018-12-18
1962973214 Diane Turner Carter Speech-Language Pathologist 100 England Street; #2214, Ashland, VA 23005 2018-12-16
1801308093 Kelli Shytle Speech-Language Pathologist 1627 Wurts Ave, Ashland, KY 41101-4658 2017-10-29
1619498722 Stephanie Darm Speech-Language Pathologist 1407 Claremont Ave, Ashland, OH 44805 2017-06-28
1609324797 Samantha Danielle Whitt Speech-Language Pathologist 2145 Dixon St, Apt 1, Ashland, KY 41101-3470 2016-09-17
1407302680 Unknown Shitanshul Speech-Language Pathologist 33 John Hancock Dr, Ashland, MA 01721-1798 2016-08-29
Find all providers in ASHLAND

Competitor

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City ASHLAND
Zip Code 41102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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