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NPI Code Detail

MEDICARE: MRS. ANNE MARIE GRITT M.S., CCC-SLP

MEDICARE: MRS. ANNE MARIE GRITT M.S., CCC-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 Pathologist22005457AIN

General Provider Information

NPI Number : 1265794465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNE MARIE GRITT M.S., CCC-SLP
Provider Business Mailing Address
First Line : 715 CLINIC DR
Second Line :
City : WEST LAFAYETTE
State : IN
Zip : 47907-2122
Country : US
Telephone Number : 765-496-3192
Fax Number :
Provider Business Practice Location Address
First Line : 715 CLINIC DR
Second Line :
City : WEST LAFAYETTE
State : IN
Zip : 47907-2122
Country : US
Telephone Number : 765-496-3192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2012
Last Update Date : 08/26/2020

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Directions to “ MRS. ANNE MARIE GRITT M.S., CCC-SLP” Practice Location

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