MEDICARE: PLAY GROW SHINE SPEECH THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1003740622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAY GROW SHINE SPEECH THERAPY

Provider Business Mailing Address
First Line	:	415 RESERVOIR ST
Second Line	:
City	:	HOLDEN
State	:	MA
Zip	:	01520-1209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 RESERVOIR ST
Second Line	:
City	:	HOLDEN
State	:	MA
Zip	:	01520-1209
Country	:	US
Telephone Number	:	508-688-0054
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	EMMA DOWD
Credential	:	MA
Telephone Number	:	508-688-0054

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “PLAY GROW SHINE SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

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