NPI

Shea Grant

NPI 1578020285

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2019-02-28
Last updated
2019-02-28

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Specialties

Licenses

License AZ
SLPA11369

Location

Practice location
17958 W Brown St
City
Waddell AZ
Postal code
85355-4151
Phone
(623) 535-5741
Fax
(623) 466-0760

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Specialist/Technologist, Speech-Language Assistant providers in Waddell, AZ. 12 with this primary taxonomy in the public file.

Other NPIs in Waddell, AZ. 84 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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