Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023783255 Individual Practitioner Female Practitioner

Tara Grissom , MS CCC-SLP

Speech-Language Pathologist • Mandeville, LA

Professional Overview & Biography Verified Profile Summary

Tara Grissom, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mandeville, LA. Practice services are available at 1011 N CAUSEWAY BLVD STE 25 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1011 N Causeway Blvd Ste 25

Mandeville, LA 704713282

Telephone 9856268403
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mandeville, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
51 Specialists

Practicing in Mandeville, LA (3335 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License LA 4782

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Freddy Tisdale , MA CCCSLP

Speech-Language Pathologist

NPI 1023109808

MACCCSLP

Gretchen Bourgeois , SLP

Speech-Language Pathologist

NPI 1023599297

Speech-Language Pathologist

Lauren Maestri , MS

Speech-Language Pathologist

NPI 1164876678

Master of Science

Randall Krieger

Speech-Language Pathologist

NPI 1184834673
Kaitlin Crum , MCD CCC-SLP

Speech-Language Pathologist

NPI 1235540204

MCDCCCSLP

Melissa Grand

Speech-Language Pathologist

NPI 1285860783

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2021

Registered at 1011 N CAUSEWAY BLVD STE 25, MANDEVILLE, LA 704713282 (Tel: 9856268403)

📍
Updated Business Mailing Address August 10, 2021

Registered at 568 PELICAN RIDGE DR, MADISONVILLE, LA 704479248 (Tel: 9852646856)

👤
Provider Name / Credentials Updated August 10, 2021

Recorded as TARA GRISSOM, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Speech-Language Pathologist (License #4782 in LA)

🟢
Initial NPI Registration & Enumeration August 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023783255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2021
Last Update: August 10, 2021
Sole Proprietor: Yes

Mailing Address

568 Pelican Ridge Dr

Madisonville, LA 704479248

Phone: 9852646856

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.