Individual
MICHELLE WARD GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
120 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3939
(205) 944-3990
Mailing address
864 CREST CV, HOOVER, AL 35226-5004
(205) 979-8245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1848
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51095789
BCBS
AL
Enumeration date
08/31/2006
Last updated
03/20/2008
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