Individual
MR. BARRY L. GRAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
3985 STEVE REYNOLDS BLVD, BUILDING G, NORCROSS, GA 30093-3035
(770) 622-2532
(770) 622-2534
Mailing address
3204 CREEK DR, MARIETTA, GA 30062-4260
(678) 592-1003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000464
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP000464
STATE LICENSE
GA
Enumeration date
08/15/2008
Last updated
09/28/2017
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