Individual provider · Type 1 NPI

Amy Randolph, M.ED., CCC-SLP

Speech-Language Pathologist · Bolivia, NC

NPI number 1295910057 Active

Practice location

35 Referendum Dr NE
Bolivia, NC 28422-7578

Call (910) 406-5100 Map

Mailing address

4974 Kona Ct Unit 2
Southport, NC 28461-7576

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X5639 (SC)
Speech-Language Pathologist Primary 235Z00000X5025 (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 1295910057

Amy Randolph, M.ED., CCC-SLP's National Provider Identifier is 1295910057, issued on Dec 29, 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.