Individual provider · NPI-1

Tracey Samet Grant, MS CCC-SLP

Speech-Language Pathologist, · Sandy Springs, GA

NPI number1801496484
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1801496484
Entity type
Individual (NPI-1)
Name
Mrs. Tracey Samet Grant
Credential
MS CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 31, 2020
Certification date
Oct 31, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,–GAYes

Practice location

660 Glenairy Dr
Sandy Springs, GA 30328-4215

Phone 404-664-1125

Mailing address

660 Glenairy Dr
Sandy Springs, GA 30328-4215

Phone 404-664-1125

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