Provider Demographics
NPI:1740426709
Name:CALDER, AMY TAYLOR (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:TAYLOR
Last Name:CALDER
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 1:848 N RAINBOW BLVD
Mailing Address - Street 2:#4106
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1103
Mailing Address - Country:US
Mailing Address - Phone:702-587-4274
Mailing Address - Fax:702-534-6469
Practice Address - Street 1:848 N RAINBOW BLVD
Practice Address - Street 2:#4106
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1103
Practice Address - Country:US
Practice Address - Phone:702-587-4274
Practice Address - Fax:702-534-6469
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1234235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist