IndividualActive
Amanda Baskerville, AUD
NPI 1649904939 · Audiologist · Joint Base Lewis-Mcchord, WA
Provider details
- NPI number
- 1649904939
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD
- Sex
- Female
- Sole proprietor
- No
- License
- LD61318724 (WA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
Madigan Annex, E Johnson St
Building 9911c, Ramp 2
Joint Base Lewis-Mcchord, WA 98433
Phone: (253) 968-3431
Approximate (ZIP-level) locationGet directions
Mailing address
Madigan Annex, E Johnson St
Apo, AA 98433
Registry dates
- Enumerated
- 2022-07-12
- Last updated
- 2023-11-27
- Certified
- 2023-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.