Most Relevant Information
Provider Data
| NPI Number: | 1003595026 |
| Provider Name: | HANNAH MARIE GRANTHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2023 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
2118 SANDY LN
LAUREL
MS
394439087
Practice Location Phone/Fax
| Phone: | 6013422923 |
| Fax: | 6012558623 |
Provider Mailing Location
2118 SANDY LN
LAUREL
MS
394439087
Provider Mailing Phone/Fax
| Phone: | 6013422923 |
| Fax: | 6012558623 |