Provider Demographics
NPI:1740605831
Name:GRENDELL, MARGARET KAIN (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:KAIN
Last Name:GRENDELL
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
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Mailing Address - Street 1:8709 LAKE FOREST TRAIL
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023
Mailing Address - Country:US
Mailing Address - Phone:216-990-1879
Mailing Address - Fax:
Practice Address - Street 1:382 BLACKBROOK ROAD
Practice Address - Street 2:LAKE COUNTY EDUCATIONAL SERVICE CENTER
Practice Address - City:PAINSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077
Practice Address - Country:US
Practice Address - Phone:440-350-2563
Practice Address - Fax:440-350-2566
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHSP9887235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist