Individual
DIANE MARIE GRINAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.S. - CCC/SLP
Contact information
Practice address
3750 OLD LEE HIGHWAY, FAIRFAX, VA 22030
(703) 246-7194
Mailing address
8622 BLACKPOOL DR, ANNANDALE, VA 22003-4315
(703) 764-8222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005089
VA
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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