Most Relevant Information
Provider Data
| NPI Number: | 1003253022 |
| Provider Name: | AMBER MORRIS GROSS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 252601 |
Most Important Dates
| Enumeration Date: | 05/31/2013 |
| Last Updated: | 05/31/2013 |
Provider Practice Location
1500 CHADFORD RD
IRMO
SC
290632038
Practice Location Phone/Fax
| Phone: | 8034764001 |
| Fax: |
Provider Mailing Location
1500 CHADFORD RD
IRMO
SC
290632038
Provider Mailing Phone/Fax
| Phone: | 8034764001 |
| Fax: |