Provider Demographics
NPI:1316240260
Name:WEBB, AMY CATHERINE (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:CATHERINE
Last Name:WEBB
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:CATHERINE
Other - Last Name:WEBB-ZAMORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:3015 SOUTHVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-9277
Mailing Address - Country:US
Mailing Address - Phone:502-655-2547
Mailing Address - Fax:
Practice Address - Street 1:3015 SOUTHVILLE PIKE
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-9277
Practice Address - Country:US
Practice Address - Phone:502-655-2547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3848235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist