Provider Demographics
NPI:1952448292
Name:YEAGER, AMY CATHERINE OGBURN (PHD, CCC-SLP)
Entity Type:Individual
Prefix:PROF
First Name:AMY
Middle Name:CATHERINE OGBURN
Last Name:YEAGER
Suffix:
Gender:F
Credentials:PHD, 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:PO BOX 244023
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-4023
Mailing Address - Country:US
Mailing Address - Phone:334-244-3410
Mailing Address - Fax:334-244-3906
Practice Address - Street 1:7041 SENATORS DRIVE,
Practice Address - Street 2:LIBERAL ARTS BLDG RM 110
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117
Practice Address - Country:US
Practice Address - Phone:334-244-3410
Practice Address - Fax:334-244-3906
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2260235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist