Provider Demographics
NPI:1841631058
Name:GROSSMAN, SASHA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:GROSSMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:PECHENAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:324 S BEVERLY DR # 1126
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4822
Mailing Address - Country:US
Mailing Address - Phone:323-910-2506
Mailing Address - Fax:
Practice Address - Street 1:324 S BEVERLY DR # 1126
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4822
Practice Address - Country:US
Practice Address - Phone:323-910-2506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21820235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist