IndividualActive
Amanda Wells, MA, CCC-SLP
NPI 1760998322 · Speech-Language Pathologist · Moscow, ID
Provider details
- NPI number
- 1760998322
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP-1797 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
810 S Main St
Moscow, ID 83843-3043
Phone: (208) 883-1522
Approximate (ZIP-level) locationGet directions
Mailing address
810 S Main St
Moscow, ID 83843-3043
Registry dates
- Enumerated
- 2017-12-19
- Last updated
- 2017-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.