NPI 1013443605

Terri Lynn Grasham

Practitioner Speech-Language Pathologist Mountain Home, ID

Practice location

Address: 245 N 3rd E, Mountain Home, ID 83647-2734
Phone: (208) 587-8255
Fax: (208) 587-4475
Mailing address: 2650 Madison Ave, Abilene, TX 79601-2029

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 110166 (TX)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1013443605
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2017
Record last updated: 3 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.