Individual
SAMANTHA GAYLE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
PO BOX 442, VALLIANT, OK 74764-0442
(580) 612-0953
Mailing address
PO BOX 442, VALLIANT, OK 74764-0442
(580) 612-0953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
118108
TX
235Z00000X
Speech-Language Pathologist
Primary
5808
OK
Other
Enumeration date
10/07/2021
Last updated
07/15/2025
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