Basic Information
| Provider Information | |||||||||
| NPI: | 1366511263 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRASSEY | ||||||||
| FirstName: | JOCELYN | ||||||||
| MiddleName: | TERESE | ||||||||
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| Credential: | M.S. CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 426 MOUNT HOPE ST | ||||||||
| Address2: | UNIT #511 | ||||||||
| City: | NORTH ATTLEBORO | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027603963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7742100555 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 EDDY ST | ||||||||
| Address2: | |||||||||
| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029054739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4015339100 | ||||||||
| FaxNumber: | 4015339101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2006 | ||||||||
| LastUpdateDate: | 01/13/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP00844 | RI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.