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

Tara Grissom, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1023783255

Tara Grissom, MSCCC-SLP is a Speech-Language Pathologist in Mandeville, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2021

Practice location Address checks out

1011 N Causeway Blvd Ste 25
Mandeville, LA 70471-3282
Phone: (985) 626-8403
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 4782 (LA)

Record details

NPI number1023783255
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

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