Individual
MS. AMY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
461 BOX ELDER LN, LAFAYETTE HILL, PA 19444-2618
(856) 524-2347
Mailing address
461 BOX ELDER LN, LAFAYETTE HILL, PA 19444-2618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002189L
PA
Other
Enumeration date
08/05/2012
Last updated
08/05/2012
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