Susan Grissom
NPI #1326479080 in Lino Lakes, Minnesota
Provider Information
- NPI Number
- 1326479080
- Entity Type
- Individual
- Name
- Susan Grissom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 6, 2013
- Last Updated
- Dec 6, 2013
Practice Location
- Address
- 6776 LAKE DRIVE
- Address 2
- ADVANCE THERAPY
- City
- Lino Lakes
- State
- Minnesota
- ZIP Code
- 55014
- Phone
- (651) 498-2071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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