Individual
AMANDA MOJTAHEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 W 5TH AVE, CONSHOHOCKEN, PA 19428-1614
(215) 870-6709
Mailing address
424 W 5TH AVE, CONSHOHOCKEN, PA 19428-1614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007951
PA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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