Individual
ANDREA GROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 W WILLIAMS ST, BANNING, CA 92220-4746
(951) 892-9048
Mailing address
2100 TRINKET CIR, SAN JACINTO, CA 92582-2251
(951) 892-9048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21427
CA
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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