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

Grant Stark

Individual provider Speech-Language Pathologist · NPI 1649960386

Grant Stark is a Qualified Speech Language Pathologist in Inver Grove Heights, Minnesota. Qualified in 2022, 4 years ago. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

2060 Uppr 55TH ST E
Inver Grove Heights, MN 55077-1725
Phone: (651) 294-7332
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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 528350 (MN)

Record details

NPI number1649960386
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address2060 Upper 55th St E, Inver Grove Heights, MN 55077-1725

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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