National Provider Identifier
Pamela W. Groth, CCC-LSLP
Pamela W. Groth, CCC-LSLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Olean, NY and a listed phone number of (716) 375-8093.
Profile Overview
- NPI
- 1063661601
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 18, 2008
- Last Updated
- September 18, 2008
Practice Location
- 1825 Windfall RD
- Boces Center At Olean
- Olean, NY 14760-9303
Phone: (716) 375-8093
Mailing Address
- 137 N 19Th St
- Olean, NY 14760-1901
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1063661601
- Entity Type
- Individual
- Last Name
- Groth
- First Name
- Pamela
- Middle Name
- W.
- Name Prefix
- Mrs.
- Credential
- CCC-LSLP
- Provider Other Last Name
- Wright
- Provider Other First Name
- Pamela
- Provider Other Middle Name
- Joan
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 137 N 19Th St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1901
- Mailing Country
- US
- Mailing Phone
- (716) 372-6768
- Practice Street Address
- 1825 Windfall RD
- Practice Address Line 2
- Boces Center At Olean
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-9303
- Practice Country
- US
- Practice Phone
- (716) 375-8093
- Practice Fax
- (716) 375-8278
- Enumeration Date
- September 18, 2008
- Last Updated
- September 18, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)