Healthcare Provider Details

I. General information

NPI: 1992627616
Provider Name (Legal Business Name): GRACE MATTHEWS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301A W MARKET ST
GEORGETOWN DE
19947-2317
US

IV. Provider business mailing address

917 CHERRY BLOSSOM LN
SEAFORD DE
19973-7622
US

V. Phone/Fax

Practice location:
  • Phone: 302-856-1940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: