Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Megan Ann Grissom-Dubenco, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1831697465

Mrs. Megan Ann Grissom-Dubenco, MS, CCC-SLP is a Speech-Language Pathologist in Bloomington, Illinois. Works from 2 locations. Licensed in Illinois and Nevada.

Licensed in
IL, NV
In the registry since
2018
Specialties on file
2
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

473 W Army Trail Rd
Bloomington, IL 60108-2674
Phone: (224) 520-8562
Fax: (215) 318-1772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7425 W Azure Dr Ste 140, Las Vegas, NV 89130-4425 — (702) 515-4009

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146014880 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP-2076 (NV)

Record details

NPI number1831697465
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

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