Provider Demographics
NPI:1942667373
Name:PURDY, AMY A (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:A
Last Name:PURDY
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 1:12200 BURKE BLVD
Mailing Address - Street 2:BURKE HIGH SCHOOL
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154
Mailing Address - Country:US
Mailing Address - Phone:402-557-3291
Mailing Address - Fax:402-557-3239
Practice Address - Street 1:12200 BURKE BLVD
Practice Address - Street 2:BURKE HIGH SCHOOL
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2327
Practice Address - Country:US
Practice Address - Phone:402-557-3291
Practice Address - Fax:402-557-3239
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist