Individual
LISA BLASKO AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W RIDGE PIKE STE C105, CONSHOHOCKEN, PA 19428-1192
(610) 834-4099
Mailing address
442 SAW MILL CT, EAST NORRITON, PA 19401-2049
(610) 513-5218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007538
PA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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