Whalio Doctors

NPI 1083633689

Crystal Brady Grim, MSCCCA

Practitioner Audiologist Pineville, LA

Practice location

Address
2495 Shreveport Hwy, Pineville, LA 71360-4044
Phone
(318) 473-0010
Fax
(318) 483-5117
Mailing address
140 Belle Trace Rd, Lecompte, LA 71346-4730

Registered specialties

Audiologist Primary
Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 4326 (LA)

Registry record

NPI
1083633689
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Jul 2006
Record last updated
8 Jul 2007

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.