Deborah Dawn Grim
Individual provider Active NPI Speech-Language Pathologist · Burgaw, NC
NPI 1609654359 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1609654359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22030000924 (NC)
- Practice address
- 925 Penderlea Hwy
Burgaw, NC 28425-4546 - Phone
- (910) 259-2187
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22030000924 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pender County Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22030000924 | NC | Yes |
Addresses
Primary practice location
925 Penderlea Hwy
Burgaw, NC 28425-4546
Mailing address
925 Penderlea Hwy
Burgaw, NC 28425-4546
Phone (910) 259-2187
Other providers in Burgaw, NC
- Courtney L Gibbs
- Justin Wade Gibson
- Hannah Suzanne Gould
- Tonia Whitley Gray
- Linda I Greenspan
- Chantelle Nicolle Guthrie
- Madelyne Hadfield
- Andrew Joseph Hall
- Sixta T Hall
- Dorothy Hamilton
All providers in Burgaw, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. 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.