Doctor Name: | MRS. AMANDA COPES |
NPI Number: | 1972917169 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 41YS00670400 |
Business Practice Address: | 10 W Jimmie Leeds Rd Galloway, NJ - 082059401 |
Business Phone Number: | 6096524920 |
Business Fax Number: | 6094044645 |
Mailing Address: | 101 Vera King Farris Dr, GALLOWAY |
State: | NJ |
Postal Code: | 082059441 |
Phone Number: | 6096524920 |
Fax Number: | 6094044546 |
NPI Enumeration Date: | 06/16/2014 |
NPI Last Update Date: | 06/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00670400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |