Individual
AUDRA KAY GRELLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4213 TYRONE WAY, CARMICHAEL, CA 95608-1649
(916) 716-2602
Mailing address
4213 TYRONE WAY, CARMICHAEL, CA 95608-1649
(916) 716-2602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP10836
CA
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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