Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Amanda Jaime Fazakerly, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1093243438

Mrs. Amanda Jaime Fazakerly, MS, CCC-SLP is a Speech-Language Pathologist in Sacramento, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

2521 Stockton Blvd Ste 6201
Sacramento, CA 95817-2207
Phone: (916) 734-5400
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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 23667 (CA)

Record details

NPI number1093243438
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 30, 2017
Last updated in NPPESDecember 10, 2018

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