Individual
DR. JUDITH E GRUNWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1 E CHASE ST STE 1108, BALTIMORE, MD 21202-2564
(443) 604-2487
Mailing address
250 PRESIDENT ST UNIT 203, BALTIMORE, MD 21202-4481
(443) 604-2487
(443) 853-3765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00855
MD
235Z00000X
Speech-Language Pathologist
013634-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00855
SPEECH-LANGUAGE PATHOLOGY LICENSE
MD
Enumeration date
04/22/2009
Last updated
07/17/2019
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