Tara Grissom, MS CCC-SLP

NPI #1023783255 in Mandeville, Louisiana

Provider Information

NPI Number
1023783255
Entity Type
Individual
Name
Tara Grissom, MS CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS CCC-SLP
Enumeration Date
Aug 10, 2021
Last Updated
Aug 10, 2021

Practice Location

Address
1011 N CAUSEWAY BLVD STE 25
ZIP Code
70471-3282
Phone
(985) 626-8403

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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