Blake Grissom

NPI #1326848169 in Burleson, Texas

Provider Information

NPI Number
1326848169
Entity Type
Individual
Name
Blake Grissom
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Mar 18, 2025
Last Updated
Mar 18, 2025

Practice Location

Address
301 ELK DR
State
Texas
ZIP Code
76028-5957
Phone
(817) 835-8373

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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