Mrs Amanda Young Wise, - Speech-Language Pathologist in Advance, NC

Mrs Amanda Young Wise, is a Speech-language Pathologist based in Advance, North Carolina. Mrs Amanda Young Wise is licensed to practice in North Carolina (license number 5645) and her current practice location is 128 Suntree Dr, Advance, North Carolina. She can be reached at her office (for appointments etc.) via phone at (336) 575-1770.

NPI number for Mrs Amanda Young Wise is 1225583412 and her current mailing address is 128 Suntree Dr, Advance, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225583412.

Contact Information

Mrs Amanda Young Wise,
128 Suntree Dr,
Advance, NC 27006-7274
(336) 575-1770
Not Available



Healthcare Provider's Profile

Full NameMrs Amanda Young Wise
GenderFemale
SpecialitySpeech-language Pathologist
Location128 Suntree Dr, Advance, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225583412
  • Provider Enumeration Date: 08/17/2016
  • Last Update Date: 08/17/2016

Medical Identifiers

Medical identifiers for Mrs Amanda Young Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225583412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 5645 (North Carolina)Primary
235Z00000XSpeech-language Pathologist 3598 (Arkansas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Young Wise is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Amanda Young Wise,
128 Suntree Dr,
Advance, NC 27006-7274

Ph: (336) 575-1770
Mrs Amanda Young Wise,
128 Suntree Dr,
Advance, NC 27006-7274

Ph: (336) 575-1770

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› Verified 9 days ago


Speech-Language Pathologist in Advance, NC

Mrs. Jayme Nance Earle, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 142 Bermuda Village Dr, Advance, NC 27006
Phone: 336-940-6433    
Heather L Gladd, MS., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 155 S Hiddenbrooke Dr, Advance, NC 27006
Phone: 336-486-2393    
Melissa Ann Cleary, M.S CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 142 Bermuda Village Dr, Advance, NC 27006
Phone: 996-940-6433    

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