Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457853129 Individual Practitioner Female Practitioner

Amanda Davis , MS, CCC-SLP

Speech-Language Pathologist • Boydton, VA

Professional Overview & Biography Verified Profile Summary

Amanda Davis, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Boydton, VA. Practice services are available at 175 MAYFIELD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

175 Mayfield Dr

Boydton, VA 239172817

Telephone 4347386111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Boydton, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Boydton, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202007489

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2202007489 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Melissa Punk , EDS, NCSP

Psychologist - School

NPI 1346742061
Allison Morris , OTR, L

Occupational Therapist

NPI 1497578223

Occupational Therapist Registered, L

Stephanie Lucy , MS, CCC-SLP

Speech-Language Pathologist

NPI 1669976734

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2018

Registered at 175 MAYFIELD DR, BOYDTON, VA 239172817 (Tel: 4347386111)

📍
Updated Business Mailing Address March 08, 2018

Registered at 175 MAYFIELD DR, BOYDTON, VA 239172817

👤
Provider Name / Credentials Updated March 08, 2018

Recorded as AMANDA DAVIS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2018

Speech-Language Pathologist (License #2202007489 in VA)

🟢
Initial NPI Registration & Enumeration March 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457853129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2018
Last Update: March 08, 2018
Sole Proprietor: No

Mailing Address

175 Mayfield Dr

Boydton, VA 239172817

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.