Provider Demographics
NPI:1518521889
Name:GROTE, ALISHA L (SLP)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:L
Last Name:GROTE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:L
Other - Last Name:LEWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16216 BAXTER RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4778
Mailing Address - Country:US
Mailing Address - Phone:636-733-3330
Mailing Address - Fax:636-773-3332
Practice Address - Street 1:16216 BAXTER RD STE 300
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4778
Practice Address - Country:US
Practice Address - Phone:636-733-3330
Practice Address - Fax:636-773-3332
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist