Theresa M Grimes, MS/CCC-SLP
NPI #1750658753 in Farmingville, New York
Provider Information
- NPI Number
- 1750658753
- Entity Type
- Individual
- Name
- Theresa M Grimes, MS/CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS/CCC-SLP
- Enumeration Date
- Nov 19, 2011
- Last Updated
- Nov 19, 2011
Practice Location
- Address
- 51 DOGWOOD AVE
- City
- Farmingville
- State
- New York
- ZIP Code
- 11738-1724
- Phone
- (631) 987-1158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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