Provider Demographics
NPI:1821245671
Name:FYFE, AMANDA RHODES (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:RHODES
Last Name:FYFE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3771 NE TELLUS DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-3997
Mailing Address - Country:US
Mailing Address - Phone:817-723-4263
Mailing Address - Fax:
Practice Address - Street 1:3771 NE TELLUS DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-3997
Practice Address - Country:US
Practice Address - Phone:817-723-4263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-24
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17579235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist