Provider Demographics
NPI:1184058265
Name:AMES, ROBERT (CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:AMES
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 WINGSPREAD DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9063
Mailing Address - Country:US
Mailing Address - Phone:610-370-2081
Mailing Address - Fax:
Practice Address - Street 1:30 OLD SCHUYLKILL RD
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-7971
Practice Address - Country:US
Practice Address - Phone:610-705-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004434L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASL004434LOtherSPEECH-LANGUAGE PATHOLOGY