NPI 1083633689
Crystal Brady Grim, MSCCCA
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
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.