Doctor Name: | MISS JOHANNA CLAIRE GROSSER |
NPI Number: | 1487923371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CF-SLP |
License Number: | P/SLP-0528 |
Business Practice Address: | 231 Davis St Bridgeport, WV - 263301703 |
Business Phone Number: | 3048420044 |
Business Fax Number: | 3048420033 |
Mailing Address: | Po Box 1276, BRIDGEPORT |
State: | WV |
Postal Code: | 263306276 |
Phone Number: | 3048420044 |
Fax Number: | 3048420033 |
NPI Enumeration Date: | 12/21/2011 |
NPI Last Update Date: | 12/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | P/SLP-0528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |