Provider Demographics
NPI:1104983105
Name:GRUCHALSKI, RHONDA (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:GRUCHALSKI
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 1:6321 SHEA PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-8026
Mailing Address - Country:US
Mailing Address - Phone:303-346-1138
Mailing Address - Fax:
Practice Address - Street 1:6321 SHEA PL
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-8026
Practice Address - Country:US
Practice Address - Phone:720-256-5278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12026626235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist