IndividualActive
Amanda Beaver
NPI 1073904546 · Speech-Language Pathologist · Carbondale, IL
Provider details
- NPI number
- 1073904546
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146.012424 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
306 W Mill St
Carbondale, IL 62901-2727
Phone: (618) 529-3060
Approximate (ZIP-level) locationGet directions
Mailing address
4355 State Highway 148
Mulkeytown, IL 62865-3219
Registry dates
- Enumerated
- 2015-02-05
- Last updated
- 2015-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.