Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jadie Gail Malark Grimm, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1699312785

Jadie Gail Malark Grimm, MS, CCC-SLP is a Speech-Language Pathologist in Coon Rapids, Minnesota. Works from 3 locations. Licensed in Minnesota and Nevada.

Licensed in
MN, NV
In the registry since
2019
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3960 Coon Rapids Blvd NW Ste 123
Coon Rapids, MN 55433-2521
Phone: (763) 236-7337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3213 W Charleston Blvd Ste 105, Las Vegas, NV 89102-1991 — (763) 438-3744
  • 3165 N Rainbow Blvd, Las Vegas, NV 89108-4578 — (763) 438-3744

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 528701 (MN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP-2653 (NV)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP-2858 (NV)

Record details

NPI number1699312785
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 8, 2019
Last updated in NPPESSeptember 17, 2023
Certification dateSeptember 17, 2023

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