Healthcare Provider Details

I. General information

NPI: 1649400730
Provider Name (Legal Business Name): RINDA GRAYBILL MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 07/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 WASHINGTON RD SUITE 200
MC MURRAY PA
15317-3180
US

IV. Provider business mailing address

3240 WASHINGTON RD SUITE 200
MC MURRAY PA
15317-3180
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-4434
  • Fax: 724-941-4714
Mailing address:
  • Phone: 724-941-4434
  • Fax: 724-941-4714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL009555
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: