Provider Demographics
NPI:1083343461
Name:RICHEY, AMBER LYNN (HIS)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:RICHEY
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-3704
Mailing Address - Country:US
Mailing Address - Phone:217-221-8550
Mailing Address - Fax:217-292-6564
Practice Address - Street 1:105 N 36TH ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-3704
Practice Address - Country:US
Practice Address - Phone:217-221-8550
Practice Address - Fax:217-292-6564
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3454237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist