IndividualActive
Amanda Back, MS SLP-CCC
NPI 1235340035 · Speech-Language Pathologist · Danville, KY
Provider details
- NPI number
- 1235340035
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS SLP-CCC
- Sex
- Female
- Sole proprietor
- No
- License
- 05036 (KY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
105 Daniel Dr
Danville, KY 40422-2527
Phone: (859) 239-6670
Approximate (ZIP-level) locationGet directions
Mailing address
108 Molly Cir
Nicholasville, KY 40356-2675
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.