Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Lickenbrock White, MHS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1730604109

Amy Lickenbrock White, MHS, CCC-SLP is a Qualified Speech Language Pathologist in Lowell, Arkansas. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2017
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1412 Park St
Lowell, AR 72745-6028
Phone: (479) 379-2827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2017026191 (AR)

Record details

NPI number1730604109
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 7, 2017
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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