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NPI Code Detail

MEDICARE: KATIE JEAN GRADY SLP

MEDICARE: KATIE JEAN GRADY SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistMA

General Provider Information

NPI Number : 1255517751
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE JEAN GRADY SLP
Provider Business Mailing Address
First Line : 1066 HOLMES RD
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-1520
Country : US
Telephone Number : 413-499-7186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2008
Last Update Date : 01/14/2008

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Directions to “ KATIE JEAN GRADY SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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