| Doctor Name: | PATRICIA JUDE GRANT |
| NPI Number: | 1821083775 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC, COM |
| License Number: | SP-6072 |
| Business Practice Address: | 210 Traffic Way Suite C Arroyo Grande, CA - 934203368 |
| Business Phone Number: | 8054411055 |
| Business Fax Number: | 8059046133 |
| Mailing Address: | 210 Traffic Way, Suite C ARROYO GRANDE |
| State: | CA |
| Postal Code: | 934203368 |
| Phone Number: | 8054411055 |
| Fax Number: | 8059046133 |
| NPI Enumeration Date: | 09/16/2005 |
| NPI Last Update Date: | 06/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP-6072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |