| Doctor Name: | REBECCA GRANGER |
| NPI Number: | 1114311883 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 4313 |
| Business Practice Address: | 6281 Tri Ridge Blvd #100 Loveland, OH - 45140 |
| Business Phone Number: | 8668715766 |
| Business Fax Number: | |
| Mailing Address: | 570 Williamsburg Ct, CINCINNATI |
| State: | OH |
| Postal Code: | 452441232 |
| Phone Number: | 5135285586 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2015 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4313 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| 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 |