| Organization Name: | GRANDLAN SPEECH THERAPY LLC |
| NPI Number: | 1427404342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VANESSA GRANDE (SPEECH LANGUAGE PATHOLOGIST OWNER) |
| Mailing Address: | 11607 Little Bay Harbor Way Spotsylvania |
| State: | VA US |
| Postal Code: | 225518905 |
| Phone Number: | 9145899815 |
| Fax Number: | 5406937025 |
| NPI Enumeration Date: | 05/10/2016 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202006582 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |