Doctor Name: | ANN E. GRUNDER |
NPI Number: | 1013331263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 4030 |
Business Practice Address: | 1550 Lakeland Ave Lakewood, OH - 441073817 |
Business Phone Number: | 2165775183 |
Business Fax Number: | |
Mailing Address: | 1550 Lakeland Ave, LAKEWOOD |
State: | OH |
Postal Code: | 441073817 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/08/2014 |
NPI Last Update Date: | 02/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |