Laura Ann Grube
Individual provider Active NPI Speech-Language Pathologist · Hawthorne, NJ
NPI 1609344191 · NPPES record last updated Nov 2, 2018
Key facts
- NPI
- 1609344191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS00193500 (NJ)
- Practice address
- 26 Oak PL
Hawthorne, NJ 07506-1807 - Phone
- (201) 390-8014
- NPI assigned
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00193500 | NJ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00193500 | NJ | Yes |
Addresses
Primary practice location
26 Oak PL
Hawthorne, NJ 07506-1807
Mailing address
26 Oak PL
Hawthorne, NJ 07506-1807
Phone (201) 390-8014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41YS00193500 | Other | NJ | SPEECH |
Other providers in Hawthorne, NJ
- Juan Alberto Garcia
- Michael Giglio
- Surendra P Goel
- Vijay Goel
- Joseph Grizzanti
- Manju Gupta
- Sharon Gurriell
- Harmony Bay Wellness & TMS Therapy, P.C.
- Harold S Bressler DMD PA
- Brianne Leigh Hartmann
All providers in Hawthorne, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.