| Julie Grimmett, MS CCC-SLP | |
|
7716 W Manchester Ave, Playa Del Rey, CA 90293-8408 | |
| (310) 823-4694 | |
| Not Available |
| Full Name | Julie Grimmett |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7716 W Manchester Ave, Playa Del Rey, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740412386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP1155 (Arizona) | Secondary |
| 235Z00000X | Speech-language Pathologist | 22118 (California) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942793534 PECOS PAC ID: 6507832573 Enrollment ID: O20190501002244 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Grimmett, MS CCC-SLP 18976 N 92nd Way, Scottsdale, AZ 85255-9254 Ph: (480) 720-3795 | Julie Grimmett, MS CCC-SLP 7716 W Manchester Ave, Playa Del Rey, CA 90293-8408 Ph: (310) 823-4694 |
Mrs. Danielle Baltazar, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 Culver Blvd, #112, Playa Del Rey, CA 90293 Phone: 310-403-4015 | |
Miss Jinger Elizabeth Lough, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7022 Rindge Ave, Playa Del Rey, CA 90293 Phone: 310-283-9991 | |
Najwa Khater, MA,SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8512 Tuscany Ave Apt 301, Playa Del Rey, CA 90293 Phone: 310-621-8485 | |
Marissa Yamada, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 7716 W Manchester Ave, Playa Del Rey, CA 90293 Phone: 310-823-4694 |