Individual
MRS. BETH FRANCINE GRUDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4 WILDFLOWER DR, KINGS PARK, NY 11754-5046
(631) 663-3313
Mailing address
4 WILDFLOWER DR, KINGS PARK, NY 11754-5046
(631) 663-3313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006265
NY
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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