Amanda Grissom V

Speech-Language Pathologist · McComb, MS

Individual Active NPI

NPI number 1639386444

Practice location

206 Maryland Ave
McComb, MS 39648-3926
Phone
(601) 250-4815
Fax
(601) 250-4815

Open in Google Maps

NPI record

NPI
1639386444
Entity type
Individual (Type 1)
Enumeration date
May 17, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X S2832 MS

Mailing address

5321 Cambridge Dr
Northport, AL 35473-1085
Phone
(601) 250-4815
Fax
(601) 250-6859

About Amanda Grissom

Amanda Grissom V is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 206 Maryland Ave, McComb, MS 39648-3926. The NPI number 1639386444 was assigned on May 17, 2007 and the record was last updated on July 8, 2007.

Amanda Grissom lists a license in the registry: #S2832 (MS) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Grissom V?

The NPI number is 1639386444.

What is the phone number of Amanda Grissom?

The phone number listed for the practice location is (601) 250-4815.

Where is Amanda Grissom located?

206 Maryland Ave, McComb, MS 39648-3926.

What is the taxonomy code for Amanda Grissom?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Speech-Language Pathologist providers in McComb

All Speech-Language Pathologist providers in McComb, MS →