Carissa Grevengoed, MS, CCC-SLP
Speech-Language Pathologist, in Peabody, Massachusetts
1073104055- Practice location
- 96 Forest St, Peabody, MA 01960-3907
- Phone
- 772-480-7068
- Fax
- —
- Last updated
- September 6, 2022
Carissa Grevengoed is a Speech-Language Pathologist, based in Peabody, MA. Carissa Grevengoed practices in Peabody, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Carissa Grevengoed is 1073104055 and holds a License No. 9936 (FL). The current practice location address for Carissa Grevengoed is 96 Forest St, Peabody, MA 01960-3907 and can be reached out via phone at 772-480-7068.
Provider Profile Details
- NPI Number
- 1073104055
- Provider Name
- Carissa Grevengoed
- Credential
- MS, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 96 Forest St, Peabody, MA 01960-3907
- Phone Number
- 772-480-7068
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 1, 2021
- Last Update Date
- September 6, 2022
- Certification Date
- September 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 96 Forest St
Peabody, MA 01960-3907 - City
- Peabody
- State
- Massachusetts
- Zip
- 01960-3907
- Phone Number
- 772-480-7068
Provider Business Mailing Address Details
- Address
- 3730 7TH Ter Ste 202
Vero Beach, FL 32960-7325 - City
- Vero Beach
- State
- FL
- Zip
- 32960-7325
License Information
- License Number (1)
- 9936
- License State (1)
- FL
- Taxonomy (1)
- Speech-Language Pathologist, · 235Z00000X
- License State (2)
- MA
- Taxonomy (2)
- Speech-Language Pathologist, · 235Z00000X
- License Number (3)
- 78648-SP-SL
- License State (3)
- MA
- Taxonomy (3)
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Peabody, MA
View all Speech-Language Pathologist, providers in Peabody →- Alexis Kaminski-MainardiSpeech-Language Pathologist, · NPI 1144062035
- Brianna L Kodis, MS CCC-SLPSpeech-Language Pathologist, · NPI 1952986606
- Caroline HartnettSpeech-Language Pathologist, · NPI 1316831068
- Charlotte MattinglySpeech-Language Pathologist, · NPI 1972287282
- Courtney MurgiaSpeech-Language Pathologist, · NPI 1376897710
- Danielle Bourgeois, MA, CCC-SLPSpeech-Language Pathologist, · NPI 1114286259
Frequently Asked Questions
What is the NPI number of Carissa Grevengoed, MS, CCC-SLP?
The NPI number of Carissa Grevengoed, MS, CCC-SLP is 1073104055. It was assigned on February 1, 2021 and is currently active in the NPPES registry.
What is the specialty of Carissa Grevengoed, MS, CCC-SLP?
Carissa Grevengoed, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in FL under license number 9936.
Where does Carissa Grevengoed, MS, CCC-SLP practice?
The practice location is 96 Forest St, Peabody, MA 01960-3907. The office can be reached at 772-480-7068 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073104055 directly on the NPPES registry website.