Provider Demographics
NPI:1922401991
Name:GABEL, AMY F (SLP)
Entity Type:Individual
Prefix:MISS
First Name:AMY
Middle Name:F
Last Name:GABEL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:F
Other - Last Name:SIKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6901 E CHAUNCEY LN APT 3085
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-5141
Mailing Address - Country:US
Mailing Address - Phone:480-694-4182
Mailing Address - Fax:
Practice Address - Street 1:6901 E CHAUNCEY LN APT 3085
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-5141
Practice Address - Country:US
Practice Address - Phone:480-694-4182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-03
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP9046235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist