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

Individual provider Developmental Therapist · NPI 1386023554

Mrs. Amanda Pericles, MS, CCC-SLP is a Developmental Therapist in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2015
Specialties on file
3
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

8848 Red Oak Blvd Ste AA
Charlotte, NC 28217-5595
Phone: (980) 422-5887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 389 County St, New Bedford, MA 02740-4995 — (508) 997-1570

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Developmental Therapist Taxonomy 222Q00000X
Speech-Language Assistant Taxonomy 2355S0801X · Licence SP1126-SA (MA)

Record details

NPI number1386023554
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedMay 21, 2015
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address8848 Red Oak Blvd Ste Aa, Charlotte, NC 28217-5595

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