Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Lopez

Individual provider Speech-Language Pathologist · NPI 1043925944

Amanda Lopez is a Qualified Speech Language Pathologist in Longmont, Colorado. Qualified in 2021, 5 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2023

Practice location Address checks out

711 Darby Ct Apt 205
Longmont, CO 80501-5076
Phone: (612) 770-1709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP.0005036 (CO)

Record details

NPI number1043925944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2023
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 16, 2023
Mailing address711 Darby Ct Apt 205, Longmont, CO 80501-5076

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Longmont