Basic Information
Provider Information
NPI: 1144588849
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRICKLAND
FirstName: AMY
MiddleName: BOTTS
NamePrefix: DR.
NameSuffix:  
Credential: AUD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6980 WINTON BLOUNT BLVD
Address2:  
City: MONTGOMERY
State: AL
PostalCode: 361173556
CountryCode: US
TelephoneNumber: 3342770848
FaxNumber: 3342728877
Practice Location
Address1: 2163 NORMANDIE DR
Address2:  
City: MONTGOMERY
State: AL
PostalCode: 361112728
CountryCode: US
TelephoneNumber: 3342841870
FaxNumber: 3342842112
Other Information
ProviderEnumerationDate: 05/01/2012
LastUpdateDate: 03/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X687AALY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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