Individual
MR. KEVIN PATRICK GRUNDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
171 DEERWOOD DR, CHARLOTTESVILLE, VA 22911-9026
(434) 989-3690
Mailing address
171 DEERWOOD DR, CHARLOTTESVILLE, VA 22911-9026
(434) 989-3690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003930
VA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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