Provider Demographics
NPI:1669192308
Name:GROW & TELL SPEECH-LANGUAGE PATHOLOGY, LLC
Entity type:Organization
Organization Name:GROW & TELL SPEECH-LANGUAGE PATHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:E
Authorized Official - Last Name:OVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-512-2841
Mailing Address - Street 1:904 DUNBAR RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-1775
Mailing Address - Country:US
Mailing Address - Phone:717-512-2841
Mailing Address - Fax:717-297-8380
Practice Address - Street 1:904 DUNBAR RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-1775
Practice Address - Country:US
Practice Address - Phone:717-512-2841
Practice Address - Fax:717-297-8380
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GROW & TELL SPEECH-LANGUAGE PATHOLOGY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty