Individual
MS. AMY ELIZABETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
178 MORRISON AVE, STATEN ISLAND, NY 10310-2835
(718) 916-8998
Mailing address
419 GREELEY AVE, STATEN ISLAND, NY 10306-5042
(191) 743-9397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016372-1
NY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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