Provider Demographics
NPI:1306716071
Name:GRANEY, ANNALEA (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNALEA
Middle Name:
Last Name:GRANEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:ANNALEA
Other - Middle Name:
Other - Last Name:PEDIGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:1727 KELLER PKWY STE 19
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3705
Mailing Address - Country:US
Mailing Address - Phone:817-500-5895
Mailing Address - Fax:
Practice Address - Street 1:1727 KELLER PKWY STE 19
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3705
Practice Address - Country:US
Practice Address - Phone:817-500-5895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122324235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist