Individual
AMANDA PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1301 WALL ST W, APT 6407, LYNDHURST, NJ 07071-3514
(973) 493-3722
Mailing address
1301 WALL ST W, APT 6407, LYNDHURST, NJ 07071-3514
(973) 493-3722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00709100
NJ
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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