Individual
ANGELA KIM GRISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
733 N. FLAG CHAPEL ROAD, JACKSON, MS 39209
(601) 922-5530
(601) 922-5534
Mailing address
147 PECAN HILL DR, CLINTON, MS 39056-5233
(601) 862-9265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2357
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S2357
MS STATE BOARD OF HEALTH
MS
Enumeration date
12/17/2008
Last updated
09/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us