Provider Demographics
NPI:1588239602
Name:SCHILLING, AMANDA VICTORIA ROSE (MS, CF-SLP)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:VICTORIA ROSE
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8252 LANSFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-1626
Mailing Address - Country:US
Mailing Address - Phone:706-570-4909
Mailing Address - Fax:
Practice Address - Street 1:402 LANE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5456
Practice Address - Country:US
Practice Address - Phone:704-233-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist