Individual
SARAH GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
930 W SOUTHERN AVE, STE #10, MESA, AZ 85210-4938
(480) 835-0857
Mailing address
2121 S PENNINGTON, APT #3, MESA, AZ 85202-6539
(480) 773-1365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1570
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562000
—
AZ
Enumeration date
12/19/2006
Last updated
07/09/2007
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