Provider Demographics
NPI:1720699531
Name:GRIZZLE, KATELYN (AUD)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:GRIZZLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:HOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3075 E GRAND RIVER AVE SUITE 109
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843
Mailing Address - Country:US
Mailing Address - Phone:517-618-7717
Mailing Address - Fax:
Practice Address - Street 1:3075 E GRAND RIVER AVE SUITE 109
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843
Practice Address - Country:US
Practice Address - Phone:517-618-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000876231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist