Individual
LUZ MARIA AMIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2460 LEMOINE AVE STE 400, FORT LEE, NJ 07024-6210
(201) 970-1080
(201) 944-0022
Mailing address
2460 LEMOINE AVE STE 400, FORT LEE, NJ 07024-6210
(201) 970-1080
(201) 944-0022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
112811
TX
235Z00000X
Speech-Language Pathologist
Primary
41YS00950000
NJ
Other
Enumeration date
02/23/2012
Last updated
09/02/2019
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