# EXPRESS YOURSELF THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXPRESS YOURSELF THERAPY
- **Other names:** Melissa Tolman M.S. CCC-SLP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205468733
- **Legal business name:** EXPRESS YOURSELF THERAPY
- **Authorized official:** DR. MELISSA GROSVENOR PHD M.S. CCC-SLP (OWNER)
- **Authorized official phone:** (847) 345-3384

## Contact information

- **Practice address:** 3930 KNOWLES AVE STE 306, KENSINGTON, MD 20895-2428
- **Practice address phone:** (847) 345-3384
- **Mailing address:** 887 E WILMETTE RD STE J, PALATINE, IL 60074-6495
- **Mailing address phone:** (847) 345-3384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 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