Grossman, Lisa Rachel

Grossman, Lisa Rachel is an individual health care provider with primary practice located at 6810 North State Road 7 , Coconut Creek FL 33073. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Grossman, Lisa Rachel can be contacted via phone (954) 617-8138.

Contact Information

Primary practice address
6810 North State Road 7 Coconut Creek FL 33073
Phone: (954) 617-8138
Fax: (954) 905-4382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5302 Florida

Profile Details

NPI number 1780793950
LBN Legal business name Grossman, Lisa Rachel
Credentials ED.D, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780793950 NPPES
Florida MEDICAID 884991900

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