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

Individual provider Speech-Language Pathologist · NPI 1770729998

Angela Kim Grissom, SLP is a Speech-Language Pathologist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2008
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

733 N Flag Chapel Rd
Jackson, MS 39209
Phone: (601) 922-5530
Fax: (601) 922-5534
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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 S2357 (MS)

Record details

NPI number1770729998
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedDecember 17, 2008
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

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