Individual
CARRIE GROHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 268-2385
(570) 268-2379
Mailing address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 268-2385
(570) 268-2379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007557
PA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001961411
MA NUMBER
PA
Enumeration date
12/27/2006
Last updated
03/25/2021
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