MEDICARE: ELIZABETH ANNE GRITZMACHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	19129	TX

General Provider Information

NPI Number	:	1932878600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE GRITZMACHER

Provider Business Mailing Address
First Line	:	3343 MARCASITE DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-2439
Country	:	US
Telephone Number	:	512-699-9436
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHAPARRAL DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-2288
Country	:	US
Telephone Number	:	512-668-2133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	09/07/2021

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Directions to “ ELIZABETH ANNE GRITZMACHER ” Practice Location

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