Individual
MIKAYLA GRINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
110 N CAMBELL ST STE A, RAPID CITY, SD 57701-1726
(605) 716-2634
Mailing address
110 N CAMBELL ST STE A, RAPID CITY, SD 57701-1726
(605) 716-2634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-161158
—
235Z00000X
Speech-Language Pathologist
Primary
1489-PROV
SD
Other
Enumeration date
03/26/2021
Last updated
05/21/2026
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