Healthcare Provider Details

I. General information

NPI: 1801626320
Provider Name (Legal Business Name): MADELYN JAMES GRASKEY MA, CCC, SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MADELYN GRAHAM

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 BARONY ST STE 3
MONCKS CORNER SC
29461-3145
US

IV. Provider business mailing address

1203 ZEPHYR RD
SUMMERVILLE SC
29486-8473
US

V. Phone/Fax

Practice location:
  • Phone: 843-790-4093
  • 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: