Provider Demographics
NPI:1124611603
Name:DRINKARD, AMY FRANCIS (SLP - CCC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:FRANCIS
Last Name:DRINKARD
Suffix:
Gender:F
Credentials:SLP - CCC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:FRANCIS
Other - Last Name:GAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 N LAPEER RD
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-8619
Mailing Address - Country:US
Mailing Address - Phone:810-728-6037
Mailing Address - Fax:
Practice Address - Street 1:2222 N LAPEER RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-8619
Practice Address - Country:US
Practice Address - Phone:810-358-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101006875235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist