MEDICARE: MS. CHRISTINE GROLEAU MS, CCC-SLP

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	SLP77589	MA
2	235Z00000X	Speech-Language Pathologist	1493	NH

General Provider Information

NPI Number	:	1215887807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE GROLEAU MS, CCC-SLP

Provider Business Mailing Address
First Line	:	30 OAKWOOD DR
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-5779
Country	:	US
Telephone Number	:	603-475-4968
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 OAKWOOD DR
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-5779
Country	:	US
Telephone Number	:	603-475-4968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ MS. CHRISTINE GROLEAU MS, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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