Granillo Speech Pathology, Pllc

NPI 1023288982 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1023288982
Enumeration Date 03/07/2008
Last Updated 03/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KELLI LYNN KELLI
Position MANAGER/MEMBER
Phone (702) 235-3354
Fax (702) 920-8062
Practice Location
3041 W HORIZON RIDGE PKWY
SUITE 150
HENDERSON NV, 89052-3948, US
Phone (702) 235-3354
Fax (702) 920-8062
Business Location
7461 COYOTE CAVE AVE
LAS VEGAS NV, 89113-3294, US
Phone (702) 235-3354
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Nevada
License Number SP-1063
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According to our database, Granillo Speech Pathology, Pllc NPI is 1023288982, taxonomy code is 235Z00000X and license number is SP-1063, license state is located at Nevada. Granillo Speech Pathology, Pllc physically located at 3041 W Horizon Ridge Pkwy, Henderson NV, 89052-3948. NPI Number 1033115704 has the healthcare provider type.

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1023288982 NPI number is provided on an as is basis without warranty of any kind. 1023288982 is maintained by the National Plan & Provider Enumeration System. The contents of Granillo Speech Pathology, Pllc are for informational purposes only.