Christina A Grisanzio, CF-SLP
Individual provider Active NPI Speech-Language Pathologist · New Gloucester, ME
NPI 1124615810 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1124615810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- ST3396 (ME)
- Practice address
- 71 Pineland Dr
New Gloucester, ME 04260-5127 - Phone
- (207) 878-9663
- NPI assigned
- Dec 29, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ST3396 | ME | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | ST3396 | ME | Yes |
Addresses
Primary practice location
71 Pineland Dr
New Gloucester, ME 04260-5127
Mailing address
31 E Grand Ave Apt 72
Old Orchard Beach, ME 04064-2846
Phone (603) 203-6679
Other providers in New Gloucester, ME
- Lauren Renee Favreau
- Richard E Fortier Jr.
- Adam Boyd Gilman
- Gregory Lee Goding
- Catherine Skilling Grannell
- Paula Hamilton
- Aubrey Ann Harvey
- Healthy Solutions Inc.
- Helix Pelvic Health LLC
- Casey Hill-Smith
All providers in New Gloucester, ME · Speech-Language Pathologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.