Provider Demographics
NPI:1760562672
Name:BEGLEY, AMY BETH (MS, CCC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:BETH
Last Name:BEGLEY
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:BEGLEY
Other - Last Name:BREWINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:530 W. OLYMPIC PL # 412
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119
Mailing Address - Country:US
Mailing Address - Phone:206-331-2761
Mailing Address - Fax:
Practice Address - Street 1:530 W. OLYMPIC PL #412
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119
Practice Address - Country:US
Practice Address - Phone:206-331-2761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP13286235Z00000X
WALL00004745235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist