MEDICARE: ELIZABETH FAITH GRANZOW

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
1	235Z00000X	Speech-Language Pathologist	10074	LA

General Provider Information

NPI Number	:	1114878006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH FAITH GRANZOW

Provider Business Mailing Address
First Line	:	2716 GLADIOLUS ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-6016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 JENA ST FL 2
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6325
Country	:	US
Telephone Number	:	504-222-2447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ ELIZABETH FAITH GRANZOW ” Practice Location

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