Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Wilson, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1174162614

Amy Wilson, MACCC-SLP is a Speech-Language Pathologist in Manasquan, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

390 Perrine Blvd
Manasquan, NJ 08736-3834
Phone: (908) 510-1311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00366700 (NJ)

Record details

NPI number1174162614
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 1, 2020
Last updated in NPPESJanuary 1, 2020
Certification dateJanuary 1, 2020
Mailing address390 Perrine Blvd, Manasquan, NJ 08736-3834

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