Individual
ELIZABETH I GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20420 68TH AVE W, LYNNWOOD, WA 98036-7400
(425) 431-7000
Mailing address
20420 68TH AVE W, LYNNWOOD, WA 98036-7400
(425) 431-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61318502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL61318502
SPEECH LANGUAGE PATHOLOGIST LICENSE
WA
Enumeration date
06/05/2022
Last updated
02/23/2023
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