Provider Demographics
NPI:1568041721
Name:THE THERAPY GROVE INC.
Entity Type:Organization
Organization Name:THE THERAPY GROVE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DANICA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:FEDERE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:209-603-1557
Mailing Address - Street 1:4111 TUJUNGA AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-3061
Mailing Address - Country:US
Mailing Address - Phone:209-603-1557
Mailing Address - Fax:
Practice Address - Street 1:4111 TUJUNGA AVE APT 6
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-3061
Practice Address - Country:US
Practice Address - Phone:209-603-1557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty