Tina Grolley
Individual provider Active NPI Speech-Language Pathologist · Galway, NY
NPI 1467729889 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1467729889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0087771 (NY)
- Practice address
- 5317 Sacandaga Rd
Galway, NY 12074-2423 - Phone
- (518) 882-1291
- Fax
- (518) 882-5250
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 0087771 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galway Central School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0087771 | NY | Yes |
Addresses
Primary practice location
5317 Sacandaga Rd
Galway, NY 12074-2423
Mailing address
37 Russell Rd
Greenfield Center, NY 12833-1318
Other providers in Galway, NY
- Samantha Nicole Blanc
- Christine Lynn Bornt
- Kristen Bushee
- Galway Ambulance Corps Inc
- Galway Central School
- Viki L Guido
- Donna E Holt
- Nicol Jenkins
- M&B Ambulette Services, LLC
- Wendy Mayes-Beasly
All providers in Galway, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. 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.