Individual
JORDAN L GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2136 N 30TH ST, MESA, AZ 85213-3176
(480) 677-1035
Mailing address
2136 N 30TH ST, MESA, AZ 85213-3176
(480) 677-1035
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA11631
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP11631
AZ
Other
Enumeration date
01/24/2019
Last updated
07/06/2021
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