Individual
COURTNEY GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 923-1521
Mailing address
121 ROBINSON DR, TUSTIN, CA 92782-1095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15653
CA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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