Individual
AMY CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CCC/SLP
Contact information
Practice address
19 E MAIN ST, MARLTON, NJ 08053-2172
(609) 304-0244
(856) 234-7475
Mailing address
13 KNIGHTON LN, MOUNT LAUREL, NJ 08054-2683
(609) 304-0244
(856) 234-7475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00409200
NJ
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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