Mindy L Granberry M.A., CCC-SLP

NPI 1639317860 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1639317860
Gender Female
Enumeration Date 01/26/2009
Last Updated 10/16/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
1202 LAKEWAY DR
SUITE 6A
LAKEWAY TX, 78734-4473, US
Phone (512) 261-3584
Fax (512) 524-3649
Business Location
1202 LAKEWAY DR
SUITE 6A
LAKEWAY TX, 78734-4473, US
Phone (512) 567-2901
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 19117
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According to our database, Mindy L Granberry M.A., CCC-SLP NPI is 1639317860, taxonomy code is 235Z00000X and license number is 19117, license state is located at Texas. Mindy L Granberry M.A., CCC-SLP physically located at 1202 Lakeway Dr, Lakeway TX, 78734-4473. NPI Number Mindy L Granberry M.A., CCC-SLP has the Individual type.

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1639317860 NPI number is provided on an as is basis without warranty of any kind. 1639317860 is maintained by the National Plan & Provider Enumeration System. The contents of Mindy L Granberry M.A., CCC-SLP are for informational purposes only.