Grissom, Susan
Grissom, Susan is an individual health care provider with primary practice located at 6776 Lake Drive Advance Therapy, Lino Lakes MN 55014. 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, Susan can be contacted via phone (651) 498-2071.Contact Information
Primary practice address
6776 Lake Drive Advance Therapy
Lino Lakes MN 55014
Phone: (651) 498-2071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 251272 | Minnesota |
Profile Details
| NPI number | 1326479080 |
|---|---|
| LBN Legal business name | Grissom, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2013 |
| Last updated | Dec 6th, 2013 - about 13 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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