Grace Boston
Individual provider Active NPI Speech-Language Pathologist · Flourtown, PA
NPI 1609480276 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1609480276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 110 W Wissahickon Ave
Flourtown, PA 19031-1898 - Phone
- (215) 836-4179
- NPI assigned
- Sep 1, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
110 W Wissahickon Ave
Flourtown, PA 19031-1898
Mailing address
129 Lori LN
Broomall, PA 19008-2639
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- Lauren Bonavitacola
- Catherine Hyun Bonita
- John Stephen Bova
- Robert Boynton
- Alison E Branigan
- Courtney Elizabeth Brennan
- Gretchen Lee Britton
All providers in Flourtown, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 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.