MRS. AMANDA BROOKE MULLIGAN (NPI# 1215285457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215285457 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BROOKE MULLIGAN |
| Credential | SLP |
| Practice Address |
80 Professional Ct Lafayette IN 47905-5152 |
| Practice Telephone | 7654481758 |
| Practice Fax Number | 7654483898 |
| Mailing Telephone | 7654481758 |
| Mailing Fax Number | 7654483898 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 46002363A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA SLP LICENSE | 46002363A | 01 |
| Street Address |
80 PROFESSIONAL CT |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134296478 | Heather Jones | Occupational Therapist | 80 Professional Ct, Lafayette, IN 47905-5152 | 2006-11-30 |
| 1124625546 | Elise E Rokke | Behavioral Analyst | 80 Professional Ct, Lafayette, IN 47905-5152 | 2020-10-08 |
| 1700434701 | Piece By Piece Aba Therapy LLC | Behavioral Analyst | 80 Professional Ct, Lafayette, IN 47905-5152 | 2019-09-03 |
| 1366006264 | Stacy Hoch | Developmental Therapist | 80 Professional Ct, Lafayette, IN 47905-5152 | 2019-04-25 |
| 1861961773 | Mattison Nicole Delph | Developmental Therapist | 80 Professional Ct, Lafayette, IN 47905-5152 | 2018-11-20 |
| 1093290249 | Mendy Ann Mcclain | Developmental Therapist | 80 Professional Ct, Lafayette, IN 47905-5152 | 2018-10-03 |
| 1114401957 | Rebecca Lynn Pitt | Developmental Therapist | 80 Professional Ct, Lafayette, IN 47905-5152 | 2018-09-18 |
| 1942626999 | Claire Bour | Occupational Therapist | 80 Professional Ct, Lafayette, IN 47905-5152 | 2014-03-14 |
| 1982038469 | Amy Shue | Speech-Language Pathologist | 80 Professional Ct, Lafayette, IN 47905-5152 | 2013-09-03 |
| 1922446376 | Sarah Beth Kinate Webster | Speech-Language Pathologist | 80 Professional Ct, Lafayette, IN 47905-5152 | 2013-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051987 | Chit-chat Pediatric Therapy Services | Speech-Language Pathologist | 304 La Rue France, Lafayette, LA 70508-3134 | 2020-10-26 |
| 1295334704 | Layne Erica Dupre | Speech-Language Pathologist | 304 La Rue France Ste 101, Lafayette, LA 70508-3136 | 2020-10-26 |
| 1386259380 | Natalie Dronet Weaver | Speech-Language Pathologist | 345 Doucet Rd Ste 222, Lafayette, LA 70503-3490 | 2020-09-15 |
| 1801400262 | Chelsey Fuselier Scherer | Speech-Language Pathologist | 225 Ardenwood Dr, Lafayette, LA 70508-7366 | 2020-09-03 |
| 1710598594 | Andria Grace Workman | Speech-Language Pathologist | 3771 Laramie Dr, Lafayette, IN 47905-4022 | 2020-08-13 |
| 1003433004 | Laura Frances Landry | Speech-Language Pathologist | 200 Lakewood Dr, Lafayette, LA 70503-2214 | 2020-06-25 |
| 1154955938 | Kelly Ann Leleux | Speech-Language Pathologist | 105 Anaheim Ln, Lafayette, LA 70508-8058 | 2020-03-02 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1891335550 | Nicolette R Selensky | Speech-Language Pathologist | 400 W South Boulder Rd Ste 2500, Lafayette, CO 80026-2724 | 2020-01-10 |
| 1700436243 | Jocelyn Jaceen Su | Speech-Language Pathologist | 1312 Lambert Cir, Lafayette, CO 80026-3117 | 2019-09-17 |
| Find all providers in LAFAYETTE | ||||
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| 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.