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Organization
EXPRESS YOURSELF THERAPY
Active
Organization
EXPRESS YOURSELF THERAPY
Active
Parent organization
EXPRESS YOURSELF THERAPY
Other names
Melissa Tolman M.S. CCC-SLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXPRESS YOURSELF THERAPY
Authorized official
DR. MELISSA GROSVENOR PHD M.S. CCC-SLP (OWNER)
(847) 345-3384
Entity
Organization
Contact information
Practice address
3930 KNOWLES AVE STE 306, KENSINGTON, MD 20895-2428
(847) 345-3384
Mailing address
887 E WILMETTE RD STE J, PALATINE, IL 60074-6495
(847) 345-3384
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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