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MRS. AMANDA MIZELLE M.S.CCC-SLP
NPI 1124156435
Speech-Language Pathologist in Bolivia, NC

Active since February 28, 2007
35 REFERENDUM DR NE, BOLIVIA, NC 28422(910) 406-5100(866) 293-0649 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Amanda Mizelle M.s.ccc-slp NPPES

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

MRS. AMANDA MIZELLE M.S.CCC-SLP (NPI 1124156435) is an individual speech-language pathologist provider in Bolivia, North Carolina, licensed in North Carolina (2980) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1124156435
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. AMANDA MIZELLECredential: M.S.CCC-SLP
Location Address35 REFERENDUM DR NEBolivia, NC 28422-7578
Mailing Address2003 E Oak Island Dr Ste 4Oak Island, NC 28465-6326 · (919) 815-5046
Phone(910) 406-5100
Fax(866) 293-0649
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1124156435 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 NC · 2980
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.
35 REFERENDUM DR NE, Bolivia, NC 28422
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Other Identifiers 3

Medicaid7412516NC
Other018CVNC · Blue Cross Blue Shield
Medicaid7212036NC

Other Providers at the Same Location NPPES 20

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

JOURNEE REBEKAH MATTHEWS
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 228-4876
JACLYN J OEHLER MS, CCC-SLP
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
RYLEIGH WEBER MS
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
ALISON SLOMBA OTR/L
Occupational Therapist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
ANITA BAKULA SLP
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
SELENA ANNE EHLERT OTR/L
Occupational Therapist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
BRUNSWICK COUNTY SCHOOLS
Local Education Agency (LEA)
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 253-2900
AMY RANDOLPH M.ED., CCC-SLP
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100

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 Mizelle's NPI number?

The NPI number for Amanda Mizelle is 1124156435. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Amanda Mizelle located?

Amanda Mizelle practices at 35 Referendum Dr NE, Bolivia, NC 28422. The listed phone number is (910) 406-5100.

What is Amanda Mizelle'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 Mizelle was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.