Provider Demographics
NPI:1821424128
Name:GRENING, DAWN MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:GRENING
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 E 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3576
Mailing Address - Country:US
Mailing Address - Phone:509-925-8119
Mailing Address - Fax:509-925-8036
Practice Address - Street 1:1300 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3576
Practice Address - Country:US
Practice Address - Phone:509-925-8119
Practice Address - Fax:509-925-8036
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist