Patti J Grisham, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S0663 Issued in MS

Practice address

7119 Firetower Rd
Kiln, MS 39556-8348

Phone

(228) 255-7852

NPI assigned

May 17, 2010

Last updated

May 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1801114772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 FIRETOWER RD",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395568348",
            "telephone_number": "228-255-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 FIRETOWER RD",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395568348",
            "telephone_number": "228-255-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "PATTI",
        "middle_name": "J",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Dawsey, CSFA
• Cynthia Lee Dedeaux, ATC
• Gabrielle Deschamp
• Firetower Health and Wellness
• Samuel Leroy Graham
• Hancock Medical Center (Hancock Family Care Center)
• Hancock Medical Health Services (Hancock Medical Health Services - HCSD)
• Hancock Medical Health Services, Inc. (Hancock Medical Health Services - HCSD)
• Hancock Medical Health Services, Inc. (Hancock Family Care Center)
• Hancock Medical Health Services, Inc. (Hancock Medical Health Services - HCSD)

• Speech-Language Pathologist in Kiln, MS
• Providers in Kiln, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.