Amanda Weaver Long, CCC-SLP
Speech-Language Pathologist, in Tupelo, MS. Individual provider (NPI-1).
NPI number1457792889
StatusActive
Last updated in NPPESJul 30, 2013
Details
- NPI
- 1457792889
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Weaver Long
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2013
- Last updated
- Jul 30, 2013
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, | – | – | Yes |
Practice location
1780 Sunflower CirTupelo, MS 38801-8193
Phone 828-273-3119
Mailing address
1780 Sunflower CirTupelo, MS 38801-8193
Phone 828-273-3119
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Tupelo, MS
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- Carla Booker, SLPNPI 1659814481
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- Lacey CaseNPI 1912399247
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All 55 Speech-Language Pathologist providers in Tupelo · All 2,880 providers in Tupelo
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