Individual
CAROL JO GRAIWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5535 BALBOA BLVD, STE 218, ENCINO, CA 91316-1516
(818) 974-1722
(818) 995-5330
Mailing address
3155 FOND DR, ENCINO, CA 91436-4203
(818) 974-1722
(818) 995-5330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 12664
CA
Other
Enumeration date
03/18/2009
Last updated
05/20/2015
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