Individual
CHAD HUNTER GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 KEN PRATT BLVD STE 120-1005, LONGMONT, CO 80501-8993
(215) 262-6937
Mailing address
205 KEN PRATT BLVD STE 120-1005, LONGMONT, CO 80501-8993
(215) 262-6937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026094
NY
235Z00000X
Speech-Language Pathologist
SA16099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04513879
—
NY
05
—
103190400
—
FL
Enumeration date
02/02/2016
Last updated
11/08/2021
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