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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA GRISSOM, MS CCC-SLP

Active Sole Proprietor

TARA GRISSOM, MS CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MANDEVILLE, Louisiana. NPI 1023783255 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MANDEVILLE, LA

Registration Details

NPI Number
1023783255
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2021 (5.0224937558224 yrs)
Last Updated
Aug 10, 2021
License
4782 (LA)
Sole Proprietor
Yes

Practice Information

Address
1011 N CAUSEWAY BLVD STE 25
MANDEVILLE, LA, 704713282
Browse LA providers · Browse ZIP 70471
Phone
9856268403
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MANDEVILLE, LA

Name Credential NPI
MRS. GAYLE MONTREUIL POUNDS MCD 1588615595
MRS. DAWN V SKINNER MA CCC SLP 1861583635
MRS. FREDDY G TISDALE MA CCCSLP 1023109808
PAULA HARLESS TEACHOUT MASTERS DEGREE 1821124967
SHELLY ANN WITMAN SLP 1821129347
MRS. STEPHANIE G DUFRENE M.S. 1568593036
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.