Organization Active NPI

Grow and Blossom Speech and Language Services, PLLC

  • Speech-Language Pathologist
  • Astoria, NY
National Provider Identifier
1578804449
Registry record updated Mar 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018511-1 Issued in NY
Legal business name
GROW AND BLOSSOM SPEECH AND LANGUAGE SERVICES, PLLC
Practice address
3427 Steinway St
Suite 116
Astoria, NY 11101-8606
Phone
(718) 440-7478
Fax
(347) 532-1315
NPI assigned
Mar 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2013

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

Authorized official

Name
Ms. Dolly Cristina Gutierrez, MA CCC-SLP
Title
Bilingual SLP
Phone
(718) 440-7478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 018511-1 NY Primary

Addresses

Primary practice location

3427 Steinway St
Suite 116
Astoria, NY 11101-8606

Mailing address

13529 Coolidge Ave
Jamaica, NY 11435-1037
Phone (718) 440-7478

National Provider Directory

National Provider Directory

Locations

3427 Steinway St
Ste 116
Astoria, NY 11101
Phone (718) 440-7478

NPI Registry JSON

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

{
    "created_epoch": "1362182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362182400000",
    "number": "1578804449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13529 COOLIDGE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351037",
            "telephone_number": "718-440-7478",
            "fax_number": "347-532-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 STEINWAY ST",
            "address_2": "SUITE 116",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111018606",
            "telephone_number": "718-440-7478",
            "fax_number": "347-532-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW AND BLOSSOM SPEECH AND LANGUAGE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-02",
        "last_updated": "2013-03-02",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "BILINGUAL SLP",
        "authorized_official_telephone_number": "718-440-7478",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018511-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2013; 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.