Provider Demographics
NPI:1508357880
Name:GRUENBERG, ANGELA ROSE (AUD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:ROSE
Last Name:GRUENBERG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:PELLITTIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:850 COLUMBIA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-7213
Mailing Address - Country:US
Mailing Address - Phone:440-250-5744
Mailing Address - Fax:
Practice Address - Street 1:850 COLUMBIA RD STE 100
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-7213
Practice Address - Country:US
Practice Address - Phone:440-250-5744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02087231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist