Provider Demographics
NPI:1659732303
Name:GELLER AND GROSSMAN SPEECH SERVICES
Entity Type:Organization
Organization Name:GELLER AND GROSSMAN SPEECH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-252-9331
Mailing Address - Street 1:454 ROCK GLEN DR
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2619
Mailing Address - Country:US
Mailing Address - Phone:610-547-1626
Mailing Address - Fax:610-642-2325
Practice Address - Street 1:454 ROCK GLEN DR
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2619
Practice Address - Country:US
Practice Address - Phone:610-547-1626
Practice Address - Fax:610-642-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency