| Doctor Name: | MRS. KRISTEN LEE GROHNE |
| NPI Number: | 1053510040 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | |
| Business Practice Address: | 1800 E Lake Shore Dr Decatur, IL - 625213810 |
| Business Phone Number: | 2174642415 |
| Business Fax Number: | 2174641633 |
| Mailing Address: | 461 Timber Dr, DECATUR |
| State: | IL |
| Postal Code: | 625215516 |
| Phone Number: | 2174291041 |
| Fax Number: | 2174641633 |
| NPI Enumeration Date: | 07/11/2007 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |