Provider Demographics
NPI:1962032698
Name:GRIMES, FRANCIS (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:GRIMES
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8502 E WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2411
Mailing Address - Country:US
Mailing Address - Phone:267-421-1210
Mailing Address - Fax:
Practice Address - Street 1:330 S PINNULE CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-1636
Practice Address - Country:US
Practice Address - Phone:480-981-0687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP11367235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist