Pamela W. Groth, CCC-LSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003756-1 Issued in NY

Practice address

1825 Windfall Rd
Boces Center at Olean
Olean, NY 14760-9303

Phone

(716) 375-8093

Fax

(716) 375-8278

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Pamela Joan Wright 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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1063661601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N 19TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601901",
            "telephone_number": "716-372-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 WINDFALL RD",
            "address_2": "BOCES CENTER AT OLEAN",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147609303",
            "telephone_number": "716-375-8093",
            "fax_number": "716-375-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "PAMELA",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "CCC-LSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003756-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WRIGHT",
            "middle_name": "JOAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Green
• Nichole Green, PA
• Paul Thomas Green, PHARM.D.
• Heather Rayee Greenawalt, LCSW
• Arthur S Greene, M.D.
• Donald P Grzankowski, OD
• Farhan F Guard
• Farid Guirguis
• Kelly Marie Gumtow, MSED
• Donna Gunsolus, LCSW

• All providers in Olean, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.