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

Klarissa Grissom

Individual provider Speech-Language Pathologist · NPI 1740992254

Klarissa Grissom is a Speech-Language Pathologist in Manassas, Virginia. Licensed in Texas and Virginia. Registered with an NPI since 2022.

Licensed in
TX, VA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

14800 Joplin Rd
Manassas, VA 20112-3909
Phone: (703) 791-8081
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 2204001085 (VA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 119604 (TX)

Record details

NPI number1740992254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2022
Last updated in NPPESMarch 15, 2023
Certification dateMarch 6, 2023
Mailing address4025 Huffines Blvd Apt 2205, Carrollton, TX 75010-6560

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