MEDICARE: HELEN GROVE MA, 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	SL010426	PA

General Provider Information

NPI Number	:	1639466238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN GROVE MA, CCC-SLP

Provider Business Mailing Address
First Line	:	6 GARDEN CENTER DRIVE
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601
Country	:	US
Telephone Number	:	724-832-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	11279 PERRY HWY STE 110
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9303
Country	:	US
Telephone Number	:	724-933-9270
Fax Number	:

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

Provider Enumeration Date	:	07/01/2011
Last Update Date	:	07/04/2017

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Directions to “ HELEN GROVE MA, CCC-SLP” Practice Location

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