Provider Demographics
NPI:1215083647
Name:MECHE, AMBER LEA (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEA
Last Name:MECHE
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N PALAFOX ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-4838
Mailing Address - Country:US
Mailing Address - Phone:850-438-4092
Mailing Address - Fax:850-438-4095
Practice Address - Street 1:115 N PALAFOX ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-4838
Practice Address - Country:US
Practice Address - Phone:850-438-4092
Practice Address - Fax:850-438-4095
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1294231HA2500X, 231HA2400X, 237600000X, 231H00000X, 235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL600510100Medicaid