Provider Demographics
NPI:1518666809
Name:THE GROVE SPEECH CENTER, PLLC
Entity type:Organization
Organization Name:THE GROVE SPEECH CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:336-420-7259
Mailing Address - Street 1:6712 RIVER HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8245
Mailing Address - Country:US
Mailing Address - Phone:336-370-5004
Mailing Address - Fax:336-370-5005
Practice Address - Street 1:6712 RIVER HILLS DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8245
Practice Address - Country:US
Practice Address - Phone:336-370-5004
Practice Address - Fax:336-370-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty