SUSAN GRISSOM
NPI 1326479080
Speech-Language Pathologist in Lino Lakes, MN

Q: What is Susan Grissom's NPI number?

The NPI number for Susan Grissom is 1326479080. It was assigned to this individual provider in the NPPES registry on December 6, 2013.

Q: What is Susan Grissom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Grissom was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2013

6776 LAKE DRIVE, ADVANCE THERAPY, LINO LAKES, MN 55014(651) 498-2071 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Susan Grissom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN GRISSOM (NPI 1326479080) is an individual speech-language pathologist provider in Lino Lakes, Minnesota, licensed in Minnesota (251272) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1326479080

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSUSAN GRISSOM

Location Address6776 LAKE DRIVE, ADVANCE THERAPYLino Lakes, MN 55014

Mailing Address13585 Elkwood DrApple Valley, MN 55124-5232 · (952) 451-4575

Phone(651) 498-2071

Sole ProprietorNo

Enumeration DateDecember 6, 2013

✔ NPI 1326479080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MN · 251272

Definition

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.

6776 LAKE DRIVE, Lino Lakes, MN 55014

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Grissom's NPI number?

The NPI number for Susan Grissom is 1326479080. It was assigned to this individual provider in the NPPES registry on December 6, 2013.

Where is Susan Grissom located?

Susan Grissom practices at 6776 Lake Drive Advance Therapy, Lino Lakes, MN 55014. The listed phone number is (651) 498-2071.

What is Susan Grissom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Susan Grissom was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.