Tara Grissom, MS CCC-SLP
NPI 1023783255 · Speech-Language Pathologist · Mandeville, LA
Tara Grissom, MS CCC-SLP is a Speech-Language Pathologist provider in Mandeville, LA (NPI 1023783255).
Provider details
- NPI number
- 1023783255
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4782 (LA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.