Provider Demographics
NPI:1679718050
Name:GADAPEE, AMY ADAMS (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ADAMS
Last Name:GADAPEE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3932 HUNTERS RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-1854
Mailing Address - Country:US
Mailing Address - Phone:321-385-1590
Mailing Address - Fax:
Practice Address - Street 1:3932 HUNTERS RIDGE WAY
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-1854
Practice Address - Country:US
Practice Address - Phone:321-385-1590
Practice Address - Fax:321-385-1590
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5095235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL885069100Medicaid