Individual provider · Type 1 NPI

Kory Mae Gross

Speech-Language Assistant · Prescott, AZ

NPI number 1265312854 Active

Practice location

812 Valley St
Prescott, AZ 86305-1826

Fax (928) 441-1291

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA16232 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1265312854

Kory Mae Gross's National Provider Identifier is 1265312854, issued on Sep 4, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Prescott, AZ. The record was last updated on Sep 4, 2025.