Mary Suzanne Grissom
Speech-Language Pathologist, in Gallatin, TN. Individual provider (NPI-1).
NPI number1295098366
StatusActive
Last updated in NPPESJun 22, 2012
Details
- NPI
- 1295098366
- Entity type
- Individual (NPI-1)
- Name
- Mary Suzanne Grissom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2012
- Last updated
- Jun 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 4235 | TN | Yes |
Practice location
695 E Main StGallatin, TN 37066-2472
Phone 423-622-1551 · Fax 423-622-1556
Mailing address
695 E Main StGallatin, TN 37066-2472
Phone 423-622-1551 · Fax 423-622-1556
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All 90 Speech-Language Pathologist providers in Gallatin · All 1,188 providers in Gallatin
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