Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Grissom V

Individual provider Speech-Language Pathologist · NPI 1639386444

Amanda Grissom V is a Speech-Language Pathologist in McComb, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
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Practice location Address checks out

206 Maryland Ave
McComb, MS 39648-3926
Phone: (601) 250-4815
Fax: (601) 250-4815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S2832 (MS)

Record details

NPI number1639386444
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5321 Cambridge Dr, Northport, AL 35473-1085

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