Doctor Name: | CAROLYN GROSSMAN |
NPI Number: | 1093968562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0156341 |
Business Practice Address: | 2 Canfield Ave Apt 205 White Plains, NY - 106012046 |
Business Phone Number: | 9148822403 |
Business Fax Number: | |
Mailing Address: | 2 Canfield Ave, Apt 205 WHITE PLAINS |
State: | NY |
Postal Code: | 106012046 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0156341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |