Provider Demographics
NPI:1376797654
Name:GREY, TUESDAY ELEANOR (SLP)
Entity Type:Individual
Prefix:
First Name:TUESDAY
Middle Name:ELEANOR
Last Name:GREY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:MASHTARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:185 MARGARET ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1837
Mailing Address - Country:US
Mailing Address - Phone:518-561-6361
Mailing Address - Fax:518-561-6367
Practice Address - Street 1:19 MORRISON AVE
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:NY
Practice Address - Zip Code:12832-1633
Practice Address - Country:US
Practice Address - Phone:518-572-6718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2023-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018066235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist