Provider Demographics
NPI:1063141893
Name:AMBROSE, AMY CLAIRE (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:CLAIRE
Last Name:AMBROSE
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 PETERSON RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1149
Mailing Address - Country:US
Mailing Address - Phone:908-552-8656
Mailing Address - Fax:
Practice Address - Street 1:29 PETERSON RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1149
Practice Address - Country:US
Practice Address - Phone:908-552-8656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist