Beth Francine Grudman, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006265 Issued in NY

Practice address

4 Wildflower Dr
Kings Park, NY 11754-5046

Phone

(631) 663-3313

NPI assigned

Jun 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1811334568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILDFLOWER DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117545046",
            "telephone_number": "631-663-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WILDFLOWER DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117545046",
            "telephone_number": "631-663-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUDMAN",
        "first_name": "BETH",
        "middle_name": "FRANCINE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Rocco Giustino, LMT
• Mildred Pearl Goldfarb
• Angelyn Goldstein, M.A.C.C.C.L.S.P.
• Lindsey A Greco, MSPT
• Maura Grillo, LCSW
• Jessica B Guzman, OTR/L
• Heather Halbert, OTR/L
• Heather Ann Hammond, LMHC
• Kerri Hammond, DPT
• Maureen Hayes, RN

• Speech-Language Pathologist in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.