Individual
DR. AMY PATRICIA LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MPH, CCC-SLP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-4667
Mailing address
7701 SEMINOLE AVE, ELKINS PARK, PA 19027-3508
(215) 823-4667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL-005981-L
PA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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