Provider Demographics
NPI:1528407475
Name:POWELL, AMY SOKOL (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:SOKOL
Last Name:POWELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5227 ROCKINGHAM DR
Mailing Address - Street 2:PLEASE SELECT...
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-8117
Mailing Address - Country:US
Mailing Address - Phone:757-871-4646
Mailing Address - Fax:757-565-2024
Practice Address - Street 1:5227 ROCKINGHAM DR
Practice Address - Street 2:PLEASE SELECT...
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-8117
Practice Address - Country:US
Practice Address - Phone:757-871-4646
Practice Address - Fax:757-565-2024
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2202003584235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist