Individual
MS. AMY SPONENBERG-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
410 E ALLENS LN, PHILADELPHIA, PA 19119-1103
(267) 243-5614
Mailing address
410 E ALLENS LN, PHILADELPHIA, PA 19119-1103
(267) 243-5614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009677
PA
Other
Enumeration date
07/26/2010
Last updated
11/11/2019
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