Provider Demographics
NPI:1174863104
Name:ARNETT, AMY LYNN (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYNN
Last Name:ARNETT
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:TYNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:2135 THORNBURY LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5368
Mailing Address - Country:US
Mailing Address - Phone:972-332-8918
Mailing Address - Fax:
Practice Address - Street 1:17390 PRESTON RD
Practice Address - Street 2:SUITE 320
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5795
Practice Address - Country:US
Practice Address - Phone:972-733-3344
Practice Address - Fax:972-733-3852
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80448231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX336791OtherPTAN
TX80448OtherTEXAS AUDIOLOGY LICENSE
09115371OtherAMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION