Laura Crisler Gresham, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006145 Issued in VA

Practice address

6063 River Cres
Norfolk, VA 23505-4706

Phone

(757) 777-2420

NPI assigned

Oct 27, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1578863338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6063 RIVER CRES",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054706",
            "telephone_number": "757-777-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 RIVER CRES",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054706",
            "telephone_number": "757-777-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "LAURA",
        "middle_name": "CRISLER",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA SPEECH LANGUAGE PATHOLOGY LICENSE",
            "identifier": "2202006145",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION CERTIFICATION",
            "identifier": "12096443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew Kerry Grehan
• Anjali Arora Gresens, MD
• Joseph Colin Gresens, M.D.
• Brandy N Gresham, MA, CAADC, CSAC
• Cynthia B Gresham, RT
• Briana Grier, LPC
• Edna Griffenhagen, M.D.
• Katherine Farrell Griffin, DO
• Reginique K Griffin
• Zachary Griffin, MD

• Speech-Language Pathologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.