Provider Demographics
NPI:1720328800
Name:GREIS, SHARON M (MA CCC/SLP BRS/S)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:M
Last Name:GREIS
Suffix:
Gender:F
Credentials:MA CCC/SLP BRS/S
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Mailing Address - Street 1:1740 SOUTH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1514
Mailing Address - Country:US
Mailing Address - Phone:215-735-5600
Mailing Address - Fax:215-968-2570
Practice Address - Street 1:1740 SOUTH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1514
Practice Address - Country:US
Practice Address - Phone:215-735-5600
Practice Address - Fax:215-968-2570
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASL002576L235Z00000X
NJ41YS00537400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist