Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Abigale Grimm, MCD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1013516004

Mrs. Abigale Grimm, MCD, CCC-SLP is a Speech-Language Pathologist in Johnson City, Tennessee. Works from 3 locations. Licensed in Mississippi and Tennessee.

Licensed in
MS, TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
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

2214 E Fairview Ave
Johnson City, TN 37601-2860
Phone: (423) 928-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1751 Dancy Blvd, Horn Lake, MS 38637-1916 — (901) 292-5313
  • 7579 Wisteria Dr, Olive Branch, MS 38654-6982 — (615) 717-7471

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8594 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence S-4658 (MS)

Record details

NPI number1013516004
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCD , CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 20, 2020
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

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