Provider Demographics
NPI:1548471238
Name:HIGHBY, AMANDA L (MA, SLP, CCC)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:L
Last Name:HIGHBY
Suffix:
Gender:F
Credentials:MA, SLP, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 SW SCREECH OWL ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-7404
Mailing Address - Country:US
Mailing Address - Phone:419-512-6352
Mailing Address - Fax:
Practice Address - Street 1:5002 SW SCREECH OWL ST
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72713-7271
Practice Address - Country:US
Practice Address - Phone:419-512-6352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2663235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist