Provider Demographics
NPI:1609640960
Name:STRICKLAND, AMBER DL (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:DL
Last Name:STRICKLAND
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 1:504 WOODBERRY PL
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-5554
Mailing Address - Country:US
Mailing Address - Phone:706-338-5862
Mailing Address - Fax:
Practice Address - Street 1:1299 BATTLECREEK ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236
Practice Address - Country:US
Practice Address - Phone:770-471-5041
Practice Address - Fax:770-471-5042
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP012803235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist