Active NPIIndividual providerSole proprietor

Amanda Griglack, MA, CCC-SLP

Speech-Language Pathologist, in Montclair, New Jersey

NPI Number1699488916
Practice location
17 Watchung Plz, Montclair, NJ 07042-4117
Fax
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Last updated
December 26, 2023

Amanda Griglack is a Speech-Language Pathologist, based in Montclair, NJ. Amanda Griglack practices in Montclair, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Amanda Griglack is 1699488916 and holds a License No. 41YS01176800 (NJ). The current practice location address for Amanda Griglack is 17 Watchung Plz, Montclair, NJ 07042-4117 and can be reached out via phone at 973-744-0804.

Provider Profile Details

NPI Number
1699488916
Provider Name
Amanda Griglack
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
17 Watchung Plz, Montclair, NJ 07042-4117
Phone Number
973-744-0804
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2023
Last Update Date
December 26, 2023
Certification Date
December 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Watchung Plz
Montclair, NJ 07042-4117
Zip
07042-4117
Phone Number
973-744-0804
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
26 Fairmount RD
Wayne, NJ 07470-6447
City
Wayne
State
NJ
Zip
07470-6447
Phone Number
504-905-1528

License Information

License Number
41YS01176800
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 Amanda Griglack, MA, CCC-SLP?

The NPI number of Amanda Griglack, MA, CCC-SLP is 1699488916. It was assigned on January 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Amanda Griglack, MA, CCC-SLP?

Amanda Griglack, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01176800.

Where does Amanda Griglack, MA, CCC-SLP practice?

The practice location is 17 Watchung Plz, Montclair, NJ 07042-4117. The office can be reached at 973-744-0804 (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 1699488916 directly on the NPPES registry website.

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