Amenthia Meredith Koller, M.S., CCC-SLP
Speech-Language Pathologist, in Savannah, TX. Individual provider (NPI-1).
NPI number1154448397
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1154448397
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amenthia Meredith Koller
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2007
- Last updated
- Jan 16, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 106038 | TX | Yes |
| 235Z00000X | Speech-Language Pathologist, | SP698 | AR |
Practice location
1417 Augusta DrSavannah, TX 76227-7663
Phone 214-546-8382
Mailing address
1417 Augusta DrSavannah, TX 76227-7663
Phone 214-546-8382
Other practice locations
848 Bowie Dr
Lavon, TX 75166-1759
Lavon, TX 75166-1759
Phone 214-546-8382
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Other Speech-Language Pathologist providers in Savannah, TX
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