Grannum, Keisha

Grannum, Keisha is an sole proprietor health care provider with primary practice located at 10434 210Th St , Queens Village NY 11429-1420. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Grannum, Keisha can be contacted via phone (347) 678-1488.

Contact Information

Primary practice address
10434 210Th St Queens Village NY 11429-1420
Phone: (347) 678-1488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0189291 New York

Profile Details

NPI number 1245564897
LBN Legal business name Grannum, Keisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2009
Last updated Sep 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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