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Organization

GRANILLO SPEECH PATHOLOGY, PLLC

Active
Other names
Speech Patherapy
Organization subpart
No

Provider details

NPI number
Authorized official
KELLI LYNN GRANILLO M.S. CCC/SLP (MANAGER/MEMBER)
(702) 235-3354
Entity
Organization

Contact information

Practice address
3041 W HORIZON RIDGE PKWY, SUITE 150, HENDERSON, NV 89052-3948
(702) 235-3354
(702) 920-8062
Mailing address
7461 COYOTE CAVE AVE, LAS VEGAS, NV 89113-3294
(702) 235-3354

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1063
NV

Other

Enumeration date
03/07/2008
Last updated
03/07/2008
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