Lori Gross, MA,CCC-SLP
Speech-Language Pathologist, in New York, NY. Individual provider (NPI-1).
NPI number1104635010
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1104635010
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lori Gross
- Credential
- MA,CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 6, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 008651 | NY | Yes |
Practice location
132 E 78th StNew York, NY 10075-0355
Phone 862-485-4897
Mailing address
300 E 64th St Apt 19bNew York, NY 10065-7544
Phone 862-485-4897
Other practice locations
300 E 64th St Apt 19b
New York, NY 10065-7544
New York, NY 10065-7544
Phone 862-485-4897
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