Individual
DANA MARIE GRIESBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2071 ROUTE 209, BRODHEADSVILLE, PA 18322-7754
(570) 236-8380
Mailing address
2071 ROUTE 209, BRODHEADSVILLE, PA 18322-7754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012632
PA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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