Doctor Name: | MS. SUSAN CHRISTINE GRUBER |
NPI Number: | 1790835965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC SLP |
License Number: | LL0002031 |
Business Practice Address: | 14920 Westminster Way N #1a Shoreline, WA - 981336445 |
Business Phone Number: | 2067699330 |
Business Fax Number: | 2063069997 |
Mailing Address: | 14920 Westminster Way N, #1a SHORELINE |
State: | WA |
Postal Code: | 981336445 |
Phone Number: | 2067699330 |
Fax Number: | 2063069997 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL0002031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |