Doctor Name: | MS. LESLIE A. GRUBLER |
NPI Number: | 1568610897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP,TSHH |
License Number: | 010959-1 |
Business Practice Address: | 21245 26th Ave Bayside, NY - 113601901 |
Business Phone Number: | 9173555060 |
Business Fax Number: | 7182240103 |
Mailing Address: | 4206a Bell Blvd, BAYSIDE |
State: | NY |
Postal Code: | 113612862 |
Phone Number: | 9173555060 |
Fax Number: | 7182240103 |
NPI Enumeration Date: | 08/28/2008 |
NPI Last Update Date: | 08/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010959-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |