Individual
MRS. TAMI GRIGSBY MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
8676 GOODWOOD BLVD STE 204, BATON ROUGE, LA 70806-7914
(225) 923-1140
Mailing address
17755 W COLONY WAY, BATON ROUGE, LA 70810-6561
(225) 751-1520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3796
LA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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