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NPI Code Detail

MEDICARE: SHAYNA GROH

MEDICARE:   SHAYNA  GROH
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
1235Z00000XSpeech-Language PathologistSLP.0002837CO

General Provider Information

NPI Number : 1104348788
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNA GROH
Provider Business Mailing Address
First Line : 2900 E 16TH AVE APT 245
Second Line :
City : DENVER
State : CO
Zip : 80206-1682
Country : US
Telephone Number : 305-389-1093
Fax Number :
Provider Business Practice Location Address
First Line : 1655 YARROW ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-6030
Country : US
Telephone Number : 303-238-1275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2017
Last Update Date : 07/14/2017

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Directions to “ SHAYNA GROH ” Practice Location

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