Reva Hillary Grossberg
Speech-Language Pathologist, in Brooklyn, NY. Individual provider (NPI-1).
NPI number1376796243
StatusActive
Last updated in NPPESOct 23, 2008
Details
- NPI
- 1376796243
- Entity type
- Individual (NPI-1)
- Name
- Reva Hillary Grossberg
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2008
- Last updated
- Oct 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 05347-1 | NY | Yes |
Practice location
24 Temple CtBrooklyn, NY 11218-1212
Phone 347-563-5820
Mailing address
24 Temple CtBrooklyn, NY 11218-1212
Phone 347-563-5820
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