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NPI Code Detail

MEDICARE: JUDIA GRINER CF-SLP

MEDICARE: JUDIA GRINER CF-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1790424950
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDIA GRINER CF-SLP
Provider Business Mailing Address
First Line : PO BOX 412307
Second Line :
City : BOSTON
State : MA
Zip : 02241-2307
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1062 W MERCURY BLVD # B
Second Line :
City : HAMPTON
State : VA
Zip : 23666-1068
Country : US
Telephone Number : 757-644-0644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2022
Last Update Date : 06/03/2022

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Directions to “ JUDIA GRINER CF-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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