Provider Demographics
NPI:1164166468
Name:CAIN, AMANDA PAIGE ZEIGLER (MA-CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AMANDA PAIGE
Middle Name:ZEIGLER
Last Name:CAIN
Suffix:
Gender:F
Credentials:MA-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 DUSTY CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-8930
Mailing Address - Country:US
Mailing Address - Phone:803-614-8666
Mailing Address - Fax:
Practice Address - Street 1:165 DUSTY CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29073-8930
Practice Address - Country:US
Practice Address - Phone:803-614-8666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7209235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist