Provider Demographics
NPI:1225674690
Name:GRINSHPON, EMILY H (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:H
Last Name:GRINSHPON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:H
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:290 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:TAPPAN
Mailing Address - State:NY
Mailing Address - Zip Code:10983-1837
Mailing Address - Country:US
Mailing Address - Phone:914-393-2919
Mailing Address - Fax:
Practice Address - Street 1:111 BOWMAN AVE
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2846
Practice Address - Country:US
Practice Address - Phone:914-305-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12157866235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist