Siva S Gramm-Rohm, M.S. CCC-SLP
Speech-Language Pathologist, in Kingman, AZ. Individual provider (NPI-1).
NPI number1174766315
StatusActive
Last updated in NPPESApr 17, 2009
Details
- NPI
- 1174766315
- Entity type
- Individual (NPI-1)
- Name
- Siva S Gramm-Rohm
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2009
- Last updated
- Apr 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP-4054 | AZ | Yes |
Practice location
9201 N Concho DrKingman, AZ 86401-8137
Phone 928-692-0138
Mailing address
9201 N Concho DrKingman, AZ 86401-8137
Phone 928-692-0138
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