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

Keisha Grannum

Individual provider Speech-Language Pathologist · NPI 1245564897

Keisha Grannum is a Speech-Language Pathologist in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

10434 210th St
Queens Village, NY 11429-1420
Phone: (347) 678-1488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 0189291 (NY)

Record details

NPI number1245564897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2009
Last updated in NPPESSeptember 30, 2009
Mailing address10434 210th St, Queens Village, NY 11429-1420

Other providers in Queens Village