Individual
MRS. GWYN RENEE GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1100 W CLARK RD # 829, CONNELL, WA 99326-9700
(509) 234-9218
Mailing address
PO BOX 829, CONNELL, WA 99326-0829
(509) 234-9218
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP60219690
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 60219690
SPEECH LANG. PATHOLIST ASSISTANT CERTIFICATION
WA
Enumeration date
01/09/2013
Last updated
01/09/2013
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