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1780793950 NPI number — LISA RACHEL GROSSMAN ED.D, CCC-SLP

NPI Number: 1780793950
Health Care Provider/Practitioner: LISA RACHEL GROSSMAN ED.D, CCC-SLP

Information about “1780793950” NPI (LISA RACHEL GROSSMAN ED.D, CCC-SLP) exists in 1780793950 in HTML format HTML  |  1780793950 in plain Text format TXT  |  1780793950 in PDF (Portable Document Format) PDF  |  1780793950 in an XML format XML  formats.

NPI Number : 1780793950 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780793950",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GROSSMAN",
    "FirstName": "LISA",
    "MiddleName": "RACHEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "ED.D, CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8267 NW 107TH TER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARKLAND",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33076-4766",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-257-6043",
    "MailingAddressFaxNumber": "954-905-4382",
    "FirstLinePracticeLocationAddress": "6810 NORTH STATE ROAD 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COCONUT CREEK",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33073",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-617-8138",
    "PracticeLocationAddressFaxNumber": "954-905-4382",
    "EnumerationDate": "08/30/2006",
    "LastUpdateDate": "08/25/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SA5302",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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