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NPI Code Detail

MEDICARE: SHANNON BECKER GRIMM MS, CF-SLP

MEDICARE:   SHANNON BECKER GRIMM  MS, 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 Pathologist123516TX

General Provider Information

NPI Number : 1487544748
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON BECKER GRIMM MS, CF-SLP
Provider Business Mailing Address
First Line : 1726 PARK OAK DR
Second Line :
City : CONROE
State : TX
Zip : 77304-1776
Country : US
Telephone Number : 248-909-7630
Fax Number :
Provider Business Practice Location Address
First Line : 26865 INTERSTATE 45
Second Line :
City : SPRING
State : TX
Zip : 77380-4045
Country : US
Telephone Number : 281-292-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2025
Last Update Date : 07/08/2025

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Directions to “ SHANNON BECKER GRIMM MS, CF-SLP” Practice Location

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