Provider Demographics
NPI:1669779096
Name:MEYERS, AMANDA (AUD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:MEYERS
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 LOTO ST UNIT 137
Mailing Address - Street 2:
Mailing Address - City:EAGLE POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97524-0819
Mailing Address - Country:US
Mailing Address - Phone:619-752-4457
Mailing Address - Fax:
Practice Address - Street 1:236 LOTO ST UNIT 137
Practice Address - Street 2:
Practice Address - City:EAGLE POINT
Practice Address - State:OR
Practice Address - Zip Code:97524-0819
Practice Address - Country:US
Practice Address - Phone:619-752-4457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO718231H00000X
OR30804231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist