Organization
PEDIATRIC LANGUAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ MARIA AMIGO MA, CCC-SLP (SLP)
(201) 970-1080
Entity
Organization
Contact information
Practice address
2460 LEMOINE AVE STE 400, FORT LEE, NJ 07024-6210
(201) 970-1080
Mailing address
2460 LEMOINE AVE STE 400, FORT LEE, NJ 07024-6210
(201) 331-6880
(201) 944-0022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/09/2018
Last updated
09/02/2019
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