Carly Gross

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008973 Issued in IL

Practice address

9 Lacrue Ave
Glen Mills, PA 19342-1062

Phone

(800) 578-7906

Fax

(800) 878-5497

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carly Slovin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1023214749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 N LEAVITT ST",
            "address_2": "APT. 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184822",
            "telephone_number": "800-578-7906",
            "fax_number": "800-878-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LACRUE AVE",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421062",
            "telephone_number": "800-578-7906",
            "fax_number": "800-878-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "SLOVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Suzanne Gould, PSYCHOLOGIST
• Gpa Healthcare LLC
• Gpa Healthcare LLC
• Kaitlin Green, AGPCNP-BC
• Lynn Green
• Dana Jo Gross, OTR/L, CHT
• Deborah Ellen Guarneri, DPT
• Zachary Dylan Guy-Frank
• Vicki Haddix
• Barbara Lynne Haines, LCSW

• Speech-Language Pathologist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.