Provider Demographics
NPI:1649846122
Name:CHANDLER, AMY (AUD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 SHADES AVE
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1530
Mailing Address - Country:US
Mailing Address - Phone:334-327-8162
Mailing Address - Fax:
Practice Address - Street 1:931 SHARIT AVE STE 101
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-5005
Practice Address - Country:US
Practice Address - Phone:205-631-8116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1293A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist