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NPI Code Detail

MEDICARE: MRS. GERMAINE GRAHAM SLP-CCC

MEDICARE: MRS. GERMAINE GRAHAM SLP-CCC
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 PathologistMS

General Provider Information

NPI Number : 1336585967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GERMAINE GRAHAM SLP-CCC
Provider Business Mailing Address
First Line : 7152 E LAKEVIEW AVE
Second Line :
City : MESA
State : AZ
Zip : 85209-4800
Country : US
Telephone Number : 757-636-1205
Fax Number :
Provider Business Practice Location Address
First Line : 21045 N 9TH PL STE 204
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5635
Country : US
Telephone Number : 602-726-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2013
Last Update Date : 06/14/2024

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Directions to “ MRS. GERMAINE GRAHAM SLP-CCC” 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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