IndividualActive
Abigale Grimm, MCD, CCC-SLP
NPI 1013516004 · Speech-Language Pathologist · Johnson City, TN
Provider details
- NPI number
- 1013516004
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MCD, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- S-4658 (MS)
Practice location
2214 E Fairview Ave
Johnson City, TN 37601-2860
Phone: (423) 928-6464
Mailing address
1106 Appletree Ct
Johnson City, TN 37615-3072
Registry dates
- Enumerated
- 2020-10-20
- Last updated
- 2024-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.