Provider Demographics
NPI:1487969143
Name:SCHAUMBURG, AMANDA MORENE (MS SLP-CCC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MORENE
Last Name:SCHAUMBURG
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-3425
Mailing Address - Country:US
Mailing Address - Phone:806-341-9982
Mailing Address - Fax:806-353-4927
Practice Address - Street 1:1001 S HARRISON ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-3425
Practice Address - Country:US
Practice Address - Phone:806-341-9982
Practice Address - Fax:806-353-4927
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105576235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist