Ronda Wishert Grant
Individual provider Active NPI Speech-Language Pathologist · Port Lavaca, TX
NPI 1407685779 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1407685779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 607 Tilley St.
Special Programs
Port Lavaca, TX 77979 - Phone
- (361) 552-9404
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
607 Tilley St.
Special Programs
Port Lavaca, TX 77979
Mailing address
9 Sago
Port Lavaca, TX 77979-5468
Phone (361) 676-6145
Other providers in Port Lavaca, TX
- Diana E. Garcia
- Steve Garcia
- Shelley Gasch
- Mark Neal Gorman
- Penny Goulden
- Jeannine L. Griffin
- Valerie Anyssa Guerra
- Gulf Bend MRMR Center Icf/Mr
- Gulf Coast Foot Clinic PA
- Gulf Coast Foot Clinic PA
All providers in Port Lavaca, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.