Provider Demographics
NPI:1023707320
Name:GRZEBYK, IZABELA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:IZABELA
Middle Name:
Last Name:GRZEBYK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LASATTA AVE APT 804
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1604
Mailing Address - Country:US
Mailing Address - Phone:201-757-2746
Mailing Address - Fax:
Practice Address - Street 1:21 LASATTA AVE APT 804
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1604
Practice Address - Country:US
Practice Address - Phone:201-757-2746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS01093000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist