Provider Demographics
NPI:1447027644
Name:CONTI, AMANDA (BA, MT-BC, NMT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:CONTI
Suffix:
Gender:F
Credentials:BA, MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 WOODCLIFF BLVD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4228
Mailing Address - Country:US
Mailing Address - Phone:732-609-4508
Mailing Address - Fax:
Practice Address - Street 1:148 WOODCLIFF BLVD
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-4228
Practice Address - Country:US
Practice Address - Phone:732-609-4508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ17447225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist