Individual provider · Type 1 NPI

Susan Grissom

Speech-Language Pathologist · Lino Lakes, MN

NPI number 1326479080 Active

Practice location

6776 Lake Drive, Advance Therapy
Lino Lakes, MN 55014

Mailing address

13585 Elkwood Dr
Apple Valley, MN 55124-5232

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X251272 (MN)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1326479080

Susan Grissom's National Provider Identifier is 1326479080, issued on Dec 6, 2013. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lino Lakes, MN. The record was last updated on Dec 6, 2013.