Individual
AMY CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, TSHH
Contact information
Practice address
421 PANORAMA DR, MOHEGAN LAKE, NY 10547-1205
(718) 483-2258
Mailing address
421 PANORAMA DR, MOHEGAN LAKE, NY 10547-1205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014806-01
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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