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NPI Code Detail

MEDICARE: KATHLEEN GRICE

MEDICARE: KATHLEEN GRICE
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 : 1326471749
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN GRICE
Provider Business Mailing Address
First Line : 7983 OAK BRIDGE LN
Second Line :
City : FAIRFAX STATION
State : VA
Zip : 22039-3406
Country : US
Telephone Number : 703-690-3789
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HUGHES WAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-1865
Country : US
Telephone Number : 703-473-2277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2013
Last Update Date : 08/21/2013

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Directions to “ KATHLEEN GRICE ” 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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