Doctor Name: | LISA BLASKO AMOS |
NPI Number: | 1417129198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL007538 |
Business Practice Address: | 625 W Ridge Pike Ste C105 Conshohocken, PA - 194281192 |
Business Phone Number: | 6108344099 |
Business Fax Number: | |
Mailing Address: | 442 Saw Mill Ct, EAST NORRITON |
State: | PA |
Postal Code: | 194012049 |
Phone Number: | 6105135218 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2008 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |