Abigale Grimm, MCD, CCC-SLP
Speech-Language Pathologist, in Johnson City, TN. Individual provider (NPI-1).
NPI number1013516004
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1013516004
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Abigale Grimm
- Credential
- MCD, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 8594 | TN | Yes |
| 235Z00000X | Speech-Language Pathologist, | S-4658 | MS |
Practice location
2214 E Fairview AveJohnson City, TN 37601-2860
Phone 423-928-6464
Mailing address
1106 Appletree CtJohnson City, TN 37615-3072
Phone 901-326-6289
Other practice locations
7579 Wisteria Dr
Olive Branch, MS 38654-6982
Olive Branch, MS 38654-6982
Phone 615-717-7471
1751 Dancy Blvd
Horn Lake, MS 38637-1916
Horn Lake, MS 38637-1916
Phone 901-292-5313
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Other Speech-Language Pathologist providers in Johnson City, TN
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All 104 Speech-Language Pathologist providers in Johnson City · All 4,629 providers in Johnson City
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