Organization Name: | THE ZIGGURAT GROUP, PA |
NPI Number: | 1295928190 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY GLENN GROSSMAN (LICENSED PSYCHOLOGIST) |
Mailing Address: | 5232 Village Creek Dr Ste 200 Plano |
State: | TX US |
Postal Code: | 750934432 |
Phone Number: | 2142277741 |
Fax Number: | 2144320494 |
NPI Enumeration Date: | 08/23/2007 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100328 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |