Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carissa Grevengoed, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1073104055

Carissa Grevengoed, MS, CCC-SLP is a Speech-Language Pathologist in Peabody, Massachusetts. Works from 2 locations. Licensed in Florida and Massachusetts.

Licensed in
FL, MA
In the registry since
2021
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

96 Forest St
Peabody, MA 01960-3907
Phone: (772) 480-7068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3730 7th Ter Ste 202, Vero Beach, FL 32960-7325 — (772) 480-7068

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 78648-SP-SL (MA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 9936 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X (MA)

Record details

NPI number1073104055
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 1, 2021
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

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