Holly Grisdela

NPI 1356739775 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1356739775
Gender Female
Enumeration Date 01/07/2015
Last Updated 01/07/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
6500 CHAMPION GRANDVIEW WAY APT 40106
AUSTIN TX, 78750-8438, US
Phone (810) 923-1242
Fax
Business Location
6500 CHAMPION GRANDVIEW WAY
40106
AUSTIN TX, 78750-8223, US
Phone (810) 923-1242
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 110830
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According to our database, Holly Grisdela NPI is 1356739775, taxonomy code is 235Z00000X and license number is 110830, license state is located at Texas. Holly Grisdela physically located at 6500 Champion Grandview Way Apt 40106, Austin TX, 78750-8438. NPI Number Holly Grisdela has the Individual type.

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1356739775 NPI number is provided on an as is basis without warranty of any kind. 1356739775 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Grisdela are for informational purposes only.