MICHAEL GRUPP

PROVIDENCE, RI
NPI1154452506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: RI  SP00131)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- MICHAEL GRUPP SLP
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906-1648
Phone number: 401-274-6310
Mailing Address
-- MICHAEL GRUPP SLP
26 PRESIDENT AVE
PROVIDENCE, RI 02906-3316
Phone number: 401-274-6310