Individual
PATTI J GRISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
7119 FIRETOWER RD, KILN, MS 39556-8348
(228) 255-7852
Mailing address
7119 FIRETOWER RD, KILN, MS 39556-8348
(228) 255-7852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0663
MS
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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