Active NPIIndividual providerSole proprietor

Amy Wilson, MA CCC-SLP

Speech-Language Pathologist, in Manasquan, New Jersey

NPI Number1174162614
Practice location
390 Perrine Blvd, Manasquan, NJ 08736-3834
Fax
—
Last updated
January 1, 2020

Amy Wilson is a Speech-Language Pathologist, based in Manasquan, NJ. Amy Wilson practices in Manasquan, NJ and has the professional credentials of MA CCC-SLP. The NPI Number for Amy Wilson is 1174162614 and holds a License No. 41YS00366700 (NJ). The current practice location address for Amy Wilson is 390 Perrine Blvd, Manasquan, NJ 08736-3834 and can be reached out via phone at 908-510-1311.

Provider Profile Details

NPI Number
1174162614
Provider Name
Amy Wilson
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
390 Perrine Blvd, Manasquan, NJ 08736-3834
Phone Number
908-510-1311
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 1, 2020
Last Update Date
January 1, 2020
Certification Date
January 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 Perrine Blvd
Manasquan, NJ 08736-3834
Zip
08736-3834
Phone Number
908-510-1311
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
390 Perrine Blvd
Manasquan, NJ 08736-3834
City
Manasquan
State
NJ
Zip
08736-3834
Phone Number
908-510-1311

License Information

License Number
41YS00366700
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy Wilson, MA CCC-SLP?

The NPI number of Amy Wilson, MA CCC-SLP is 1174162614. It was assigned on January 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Amy Wilson, MA CCC-SLP?

Amy Wilson, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00366700.

Where does Amy Wilson, MA CCC-SLP practice?

The practice location is 390 Perrine Blvd, Manasquan, NJ 08736-3834. The office can be reached at 908-510-1311 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174162614 directly on the NPPES registry website.

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