Individual
NICOLE AMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
80 STECHER AVE, DELRAN, NJ 08075-1463
(856) 492-1355
Mailing address
2 BURKE DR, MEDFORD, NJ 08055-3927
(609) 332-2230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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