Provider Demographics
NPI:1932572328
Name:GROYSMAN, YEVGENIYA L (MS CF-SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:YEVGENIYA
Middle Name:L
Last Name:GROYSMAN
Suffix:
Gender:F
Credentials:MS CF-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9931 64TH AVE APT E8
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2605
Mailing Address - Country:US
Mailing Address - Phone:718-607-5004
Mailing Address - Fax:
Practice Address - Street 1:9931 64TH AVE APT E8
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2605
Practice Address - Country:US
Practice Address - Phone:718-607-5004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist