Individual
HALEY MARIE GRANDCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4210 57TH ST, SACRAMENTO, CA 95820-3160
(916) 718-7149
Mailing address
4210 57TH ST, SACRAMENTO, CA 95820-3160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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