Teresa M Groves, MS, CCC/SLP

Individual provider Active NPI Speech-Language Pathologist · Tarentum, PA

NPI 1144569864 · NPPES record last updated Feb 1, 2013

Key facts

NPI
1144569864
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL005614L (PA)
Practice address
1504 Brownstone CT
Tarentum, PA 15084-2637
Phone
(724) 265-8133
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL005614LPAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL005614L PA Yes

Addresses

Primary practice location

1504 Brownstone CT
Tarentum, PA 15084-2637

Mailing address

1504 Brownstone CT
Tarentum, PA 15084-2637
Phone (724) 265-8133

Other providers in Tarentum, PA

All providers in Tarentum, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.