Individual
GRACE MISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC-SLP
Contact information
Practice address
1710 CHARLESTOWN NEW ALBANY RD APT 43, JEFFERSONVILLE, IN 47130-9740
(502) 552-4760
Mailing address
1710 CHARLESTOWN NEW ALBANY RD APT 43, JEFFERSONVILLE, IN 47130-9740
(502) 552-4760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008166A
IN
Other
Enumeration date
05/16/2022
Last updated
11/05/2025
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