Individual
AMY ELIZABETH AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
425 KINGS HWY E, BANCROFT HALL 204, HADDONFIELD, NJ 08033-1206
(801) 368-9305
Mailing address
206 PELHAM RD S, VOORHEES, NJ 08043-1243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00732100
NJ
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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