Active NPIIndividual providerSole proprietor

Amy Childress, MED, CCC/SLP

Speech-Language Pathologist, in Marlton, New Jersey

NPI Number1215967161
Practice location
19 E Main St, Marlton, NJ 08053-2172
Fax
856-234-7475
Last updated
July 8, 2007

Amy Childress is a Speech-Language Pathologist, based in Marlton, NJ. Amy Childress practices in Marlton, NJ and has the professional credentials of MED, CCC/SLP. The NPI Number for Amy Childress is 1215967161 and holds a License No. 41YS00409200 (NJ). The current practice location address for Amy Childress is 19 E Main St, Marlton, NJ 08053-2172 and can be reached out via phone at 609-304-0244 and via fax at 856-234-7475.

Provider Profile Details

NPI Number
1215967161
Provider Name
Amy Childress
Credential
MED, CCC/SLP
Provider Entity Type
Individual
Gender
Female
Address
19 E Main St, Marlton, NJ 08053-2172
Phone Number
609-304-0244
Fax Number
856-234-7475
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 E Main St
Marlton, NJ 08053-2172
Zip
08053-2172
Phone Number
609-304-0244
Fax Number
856-234-7475
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
13 Knighton Ln
Mount Laurel, NJ 08054-2683
City
Mount Laurel
State
NJ
Zip
08054-2683
Phone Number
609-304-0244
Fax Number
856-234-7475

License Information

License Number
41YS00409200
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.

Other Speech-Language Pathologist, providers near Marlton, NJ

View all Speech-Language Pathologist, providers in Marlton →

Frequently Asked Questions

What is the NPI number of Amy Childress, MED, CCC/SLP?

The NPI number of Amy Childress, MED, CCC/SLP is 1215967161. It was assigned on July 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Amy Childress, MED, CCC/SLP?

Amy Childress, MED, CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00409200.

Where does Amy Childress, MED, CCC/SLP practice?

The practice location is 19 E Main St, Marlton, NJ 08053-2172. The office can be reached at 609-304-0244 (phone) or 856-234-7475 (fax).

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 1215967161 directly on the NPPES registry website.

Browse related providers