Organization
GRANDLAN SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA GRANDE MS SLP (SPEECH LANGUAGE PATHOLOGIST OWNER)
(914) 589-9815
Entity
Organization
Contact information
Practice address
11607 LITTLE BAY HARBOR WAY, SPOTSYLVANIA, VA 22551-8905
(914) 589-9815
(540) 693-7025
Mailing address
11607 LITTLE BAY HARBOR WAY, SPOTSYLVANIA, VA 22551-8905
(914) 589-9815
(540) 693-7025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006582
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720224918
—
VA
Enumeration date
05/10/2016
Last updated
05/10/2016
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