Organization
MINDY L GRANBERRY PLLC
Active
Organization
MINDY L GRANBERRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY L GRANBERRY M.A., CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(512) 567-2901
Entity
Organization
Contact information
Practice address
20424 HAYSTACK CV, SPICEWOOD, TX 78669-6441
(512) 261-3584
(512) 524-3649
Mailing address
PO BOX 90997, AUSTIN, TX 78709-0997
(512) 261-3584
(512) 524-3649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
19117
TX
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
09/02/2021
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