Individual
LINDSAY ELIZABETH GRUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
20310 EMPIRE AVE STE A103, BEND, OR 97703-5723
(541) 604-8255
Mailing address
20310 EMPIRE AVE STE A103, BEND, OR 97703-5723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
17781
OR
235Z00000X
Speech-Language Pathologist
Primary
SA22362
FL
235Z00000X
Speech-Language Pathologist
SLP011070
GA
Other
Enumeration date
05/11/2023
Last updated
10/08/2024
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