Individual
ELIZABETH SEAGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2400 LAS GALLINAS AVE, STE 135A, SAN RAFAEL, CA 94903-1452
(415) 326-3315
(855) 975-3010
Mailing address
2400 LAS GALLINAS AVE, STE 135A, SAN RAFAEL, CA 94903-1452
(415) 326-3431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20990
CA
Other
Enumeration date
01/08/2015
Last updated
10/25/2021
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