MEDICARE: CARA GRANGER

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	023439-1	NY
2	235Z00000X	Speech-Language Pathologist	21424	CA

General Provider Information

NPI Number	:	1972140473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA GRANGER

Provider Business Mailing Address
First Line	:	21725 ESMALTE
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92692-1029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21725 ESMALTE
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92692-1029
Country	:	US
Telephone Number	:	949-697-0990
Fax Number	:

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

Provider Enumeration Date	:	12/03/2019
Last Update Date	:	01/08/2026

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Directions to “ CARA GRANGER ” Practice Location

Language	Start Address	Practice Location

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