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

Mrs. Amanda Mizelle, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1124156435

Mrs. Amanda Mizelle, MSCCC-SLP is a Speech-Language Pathologist in Bolivia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

35 Referendum Dr NE
Bolivia, NC 28422-7578
Phone: (910) 406-5100
Fax: (866) 293-0649
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 2980 (NC)

Record details

NPI number1124156435
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Other providers in Bolivia