| Doctor Name: | MR. ROBERT BRADY GRIDER |
| NPI Number: | 1902905599 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. S./C. C. C.-SP |
| License Number: | 5042 |
| Business Practice Address: | 6750 France Ave S 210 Edina, MN - 554351903 |
| Business Phone Number: | 9529291981 |
| Business Fax Number: | 9529291846 |
| Mailing Address: | 6750 France Ave S, 210 EDINA |
| State: | MN |
| Postal Code: | 554351903 |
| Phone Number: | 9529291981 |
| Fax Number: | 9529291846 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |