Doctor Name: | MRS. MEGHAN E GRANT |
NPI Number: | 1063631091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 12702456 |
Business Practice Address: | 1442 Old Skokie Rd Highland Park, IL - 600353032 |
Business Phone Number: | 8474864140 |
Business Fax Number: | |
Mailing Address: | 1308 Waukegan Rd., Suite 103 GLENVIEW |
State: | IL |
Postal Code: | 60025 |
Phone Number: | 8474864140 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 04/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12702456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |