Individual
AMARIAH ELLICE MACATANGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2854 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-4014
(201) 792-2582
Mailing address
301 RIVERFRONT BLVD APT 312, ELMWOOD PARK, NJ 07407-1041
(201) 543-8122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01064500
NJ
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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