Individual
AMANDA GRIGLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
17 WATCHUNG PLZ, MONTCLAIR, NJ 07042-4117
(973) 744-0804
Mailing address
26 FAIRMOUNT RD, WAYNE, NJ 07470-6447
(504) 905-1528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01176800
NJ
Other
Enumeration date
01/02/2023
Last updated
12/26/2023
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