Individual
MS. AMY M GROSCOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2929 E FILLMORE ST, PHOENIX, AZ 85008-6159
(602) 683-2400
Mailing address
PO BOX 2392, MESA, AZ 85214-2392
(602) 683-2400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4642
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
768418
AHCCCS
AZ
Enumeration date
12/15/2006
Last updated
07/08/2007
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