Amber Libby, CCC-SLP

Speech-Language Pathologist · Jesup, GA

Individual Active NPI

NPI number 1104586502

Practice location

212 NE Broad St
Jesup, GA 31546-4371
Phone
(912) 342-8875
Fax
(912) 342-8016

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NPI record

NPI
1104586502
Entity type
Individual (Type 1)
Enumeration date
December 27, 2021
Last updated
December 27, 2021
Certified
December 27, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SLP009227 GA

Mailing address

4212 Coral Park Dr
Brunswick, GA 31520-3016
Phone
(912) 342-8875
Fax
(912) 342-8016

About Amber Libby

Amber Libby, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 212 NE Broad St, Jesup, GA 31546-4371. The NPI number 1104586502 was assigned on December 27, 2021 and the record was last updated on December 27, 2021.

Amber Libby lists a license in the registry: #SLP009227 (GA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amber Libby, CCC-SLP?

The NPI number is 1104586502.

What is the phone number of Amber Libby?

The phone number listed for the practice location is (912) 342-8875.

Where is Amber Libby located?

212 NE Broad St, Jesup, GA 31546-4371.

What is the taxonomy code for Amber Libby?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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