| Elizabeth I Gruber, | |
|
20420 68th Ave W, Lynnwood, WA 98036-7400 | |
| (425) 431-7000 | |
| Not Available |
| Full Name | Elizabeth I Gruber |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 20420 68th Ave W, Lynnwood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508595760 | NPI | - | NPPES |
| LL61318502 | Other | WA | SPEECH LANGUAGE PATHOLOGIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | LL61318502 (Washington) | Primary |
| Provider Name | Integrated Rehabilitation Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154369833 PECOS PAC ID: 0042111718 Enrollment ID: O20040115000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth I Gruber, 20420 68th Ave W, Lynnwood, WA 98036-7400 Ph: (425) 431-7000 | Elizabeth I Gruber, 20420 68th Ave W, Lynnwood, WA 98036-7400 Ph: (425) 431-7000 |
Carole Barbara Scandella, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20420 68th Ave W, Lynnwood, WA 98036 Phone: 425-431-7180 | |
Priscilla Ann Pacheco, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20420 68th Ave W, Lynnwood, WA 98036 Phone: 425-431-7000 | |
Robert Thomas Morton, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20818 44th Ave W # 270-b, Lynnwood, WA 98036 Phone: 425-672-9219 | |
Charlotte U Richardson, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20420 68th Ave W, Lynnwood, WA 98036 Phone: 425-431-1050 | |
Mrs. Ruth Eng, MSPA, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20420 68th Ave W, Lynnwood, WA 98036 Phone: 425-431-1079 | |
Rachelle Zadigian, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20420 68th Ave W, Lynnwood, WA 98036 Phone: 425-431-7000 | |
Aleksey Brooke Green, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18905 33rd Ave W Ste 109, Lynnwood, WA 98036 Phone: 425-361-7046 Fax: 425-249-3525 |