MS. AMANDA BETH WYDEVELD CCC-SLP
NPI 1104104678
Speech-Language Pathologist in Seattle, WA

Active since August 01, 2011
12550 AURORA AVE N, SEATTLE, WA 98133(206) 363-7303(206) 826-1179 Get Directions Write a Review

NPPES record last updated: August 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Amanda Beth Wydeveld Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMANDA BETH WYDEVELD CCC-SLP (NPI 1104104678) is an individual speech-language pathologist provider in Seattle, Washington, licensed in Washington (LL60233622) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1104104678
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. AMANDA BETH WYDEVELDCredential: CCC-SLP
Location Address12550 AURORA AVE NSeattle, WA 98133-8036
Mailing Address12550 Aurora Ave NSeattle, WA 98133-8036 · (206) 826-1097 · Fax (206) 826-1179
Fax(206) 826-1179
Sole ProprietorNo
Enumeration DateAugust 1, 2011
NPI 1104104678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WA · LL60233622
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
12550 AURORA AVE N, Seattle, WA 98133

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
12550 AURORA AVE N
SEATTLE, WA 98133
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
Occupational Therapist
12550 AURORA AVE N
SEATTLE, WA 98133
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
Occupational Therapist
12550 AURORA AVE N
SEATTLE, WA 98133
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133
Speech-Language Pathologist
12550 AURORA AVE N
SEATTLE, WA 98133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Wydeveld's NPI number?

The NPI number for Amanda Wydeveld is 1104104678. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Amanda Wydeveld located?

Amanda Wydeveld practices at 12550 Aurora Ave N, Seattle, WA 98133. The listed phone number is (206) 363-7303.

What is Amanda Wydeveld's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Amanda Wydeveld was last updated on August 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.