| Organization Name: | GROW AND BLOSSOM SPEECH AND LANGUAGE SERVICES, PLLC |
| NPI Number: | 1578804449 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOLLY CRISTINA GUTIERREZ (BILINGUAL SLP) |
| Mailing Address: | 3427 Steinway St Suite 116 Astoria |
| State: | NY US |
| Postal Code: | 111018606 |
| Phone Number: | 7184407478 |
| Fax Number: | 3475321315 |
| NPI Enumeration Date: | 03/02/2013 |
| NPI Last Update Date: | 03/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 018511-1 |
| 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 |