| Doctor Name: | VANESSA GRANDE |
| NPI Number: | 1720224918 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, SLP - TSLD |
| License Number: | 012371 |
| Business Practice Address: | 11607 Little Bay Harbor Way Spotsylvania, VA - 225518905 |
| Business Phone Number: | 9145899815 |
| Business Fax Number: | 5404125818 |
| Mailing Address: | 11607 Little Bay Harbor Way, SPOTSYLVANIA |
| State: | VA |
| Postal Code: | 225518905 |
| Phone Number: | 9145899815 |
| Fax Number: | 5404125818 |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 06/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 012371 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |