AMANDA POLSON CCC-SLP
NPI 1750631610
Speech-Language Pathologist in St Petersburg, FL

Active since September 18, 2012
6360 6TH AVE N, ST PETERSBURG, FL 33710(727) 415-2962 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Amanda Polson Ccc-slp NPPES

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

AMANDA POLSON CCC-SLP (NPI 1750631610) is an individual speech-language pathologist provider in St Petersburg, Florida, licensed in Florida (SA12622) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1750631610
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMANDA POLSONCredential: CCC-SLP
Location Address6360 6TH AVE NSt Petersburg, FL 33710-6906
Mailing Address6360 6th Ave NSt Petersburg, FL 33710-6906 · (727) 415-2962
Sole ProprietorNo
Enumeration DateSeptember 18, 2012
Last NPPES UpdateMarch 27, 2018
NPI 1750631610 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
Licenses Licensed in FL · SA12622 Licensed in FL · SZ5969
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.
6360 6TH AVE N, St Petersburg, FL 33710

Other Identifiers 1

Medicaid006609700FL

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 Polson's NPI number?

The NPI number for Amanda Polson is 1750631610. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Amanda Polson located?

Amanda Polson practices at 6360 6th Ave N, St Petersburg, FL 33710. The listed phone number is (727) 415-2962.

What is Amanda Polson'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 Polson was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.