Individual
BETH GRODZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MS, CF-SLP
Contact information
Practice address
1809 SOUTH BLVD, EVANSTON, IL 60202-2749
(847) 877-1515
Mailing address
1809 SOUTH BLVD, EVANSTON, IL 60202-2749
(847) 877-1515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.006197
IL
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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