Individual provider · Type 1 NPI

Amanda Mizelle, M.S.CCC-SLP

Speech-Language Pathologist · Bolivia, NC

NPI number 1124156435 Active

Practice location

35 Referendum Dr NE
Bolivia, NC 28422-7578

Call (910) 406-5100 Map

Fax (866) 293-0649

Mailing address

2003 E Oak Island Dr Ste 4
Oak Island, NC 28465-6326

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2980 (NC)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1124156435

Amanda Mizelle, M.S.CCC-SLP's National Provider Identifier is 1124156435, issued on Feb 28, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Bolivia, NC. The record was last updated on Mar 31, 2026.