Provider Demographics
NPI:1942965249
Name:STUEWE, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:STUEWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3882 LOWER CRABAPPLE RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-7564
Mailing Address - Country:US
Mailing Address - Phone:830-992-0604
Mailing Address - Fax:
Practice Address - Street 1:234 FRIENDSHIP LN
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-5053
Practice Address - Country:US
Practice Address - Phone:830-997-9551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist