Janice M. Gremaud, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Brighton, IL

NPI 1669982732 · NPPES record last updated Oct 3, 2017

Key facts

NPI
1669982732
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
201 E City Limits Rd
Brighton, IL 62012-2344
Phone
(618) 372-3813
NPI assigned
Oct 3, 2017
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
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Yes

Addresses

Primary practice location

201 E City Limits Rd
Brighton, IL 62012-2344

Mailing address

109 W Throp St
Troy, IL 62294-1120
Phone (618) 667-0279

Other providers in Brighton, IL

All providers in Brighton, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.