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

Individual provider Speech-Language Pathologist · NPI 1104104678

MS. Amanda Beth Wydeveld, CCC-SLP is a Speech-Language Pathologist in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
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

12550 Aurora Ave N
Seattle, WA 98133-8036
Phone: (206) 363-7303
Fax: (206) 826-1179
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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 LL60233622 (WA)

Record details

NPI number1104104678
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 1, 2011
Last updated in NPPESAugust 1, 2011

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