Grissom, Amanda

Grissom, Amanda is an sole proprietor health care provider with primary practice located at 206 Maryland Ave , Mccomb MS 39648-3926. 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. Grissom, Amanda can be contacted via phone (601) 250-4815.

Contact Information

Primary practice address
206 Maryland Ave Mccomb MS 39648-3926
Phone: (601) 250-4815
Fax: (601) 250-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2832 Mississippi

Profile Details

NPI number 1639386444
LBN Legal business name Grissom, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 19 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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