Provider Demographics
NPI:1326112897
Name:GROCE, SYLVIA MAE (MA, LPA)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:MAE
Last Name:GROCE
Suffix:
Gender:F
Credentials:MA, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 HUNTERWOODS DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8134
Mailing Address - Country:US
Mailing Address - Phone:336-688-6945
Mailing Address - Fax:
Practice Address - Street 1:1705 HUNTERWOODS DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8134
Practice Address - Country:US
Practice Address - Phone:336-688-6945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPA 2402103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities