IndividualActive
Amanda Grissom
NPI 1639386444 · Speech-Language Pathologist · Mccomb, MS
Provider details
- NPI number
- 1639386444
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- S2832 (MS)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
206 Maryland Ave
Mccomb, MS 39648-3926
Phone: (601) 250-4815
Fax: (601) 250-4815
Approximate (ZIP-level) locationGet directions
Mailing address
5321 Cambridge Dr
Northport, AL 35473-1085
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.