NPI 1174162614

Amy Wilson, MACCCSLP

Practitioner Speech-Language Pathologist Manasquan, NJ

Practice location

Address: 390 Perrine Blvd, Manasquan, NJ 08736-3834
Phone: (908) 510-1311

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 41YS00366700 (NJ)

Other Speech-Language Pathologist providers in New Jersey →

Registry record

NPI: 1174162614
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jan 2020
Record last updated: 1 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.