MEDICARE: SASHA GROSSMAN M.S., 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	21820	CA

General Provider Information

NPI Number	:	1841631058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SASHA GROSSMAN M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	324 S BEVERLY DR # 1126
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-4822
Country	:	US
Telephone Number	:	323-910-2506
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 S BEVERLY DR # 1126
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-4822
Country	:	US
Telephone Number	:	323-910-2506
Fax Number	:

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

Provider Enumeration Date	:	07/16/2013
Last Update Date	:	01/26/2025

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