Organization
GRANT SPEECH PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMISHA R GRANT MS-CCC (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(240) 320-6356
Entity
Organization
Contact information
Practice address
7133 BRITENS WAY, BRANDYWINE, MD 20613-6264
(240) 320-6356
(301) 782-1974
Mailing address
7133 BRITENS WAY, BRANDYWINE, MD 20613-6264
(240) 320-6356
(301) 782-1974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05820
MD
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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