Individual provider · Type 1 NPI

Amanda Leigh Mizenis, MCD, CCC-SLP

Speech-Language Pathologist · Athens, GA

NPI number 1720901234 Active

Practice location

1630 New Kings Bridge Rd
Athens, GA 30607-3921

Mailing address

61 Roosevelt Ct
Jefferson, GA 30549-7105

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP004596 (GA)

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 1720901234

Amanda Leigh Mizenis, MCD, CCC-SLP's National Provider Identifier is 1720901234, issued on Aug 1, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Athens, GA. The record was last updated on Aug 1, 2026.