Provider Demographics
NPI:1528358413
Name:SETTLES, AMBER DAWN (SLP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:DAWN
Last Name:SETTLES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:DAWN
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:1313 QUARRIER ST STE A
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-6002
Mailing Address - Country:US
Mailing Address - Phone:304-342-7852
Mailing Address - Fax:
Practice Address - Street 1:1313 QUARRIER ST STE A
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-6002
Practice Address - Country:US
Practice Address - Phone:304-342-7852
Practice Address - Fax:304-342-2970
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP 1209235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist