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NPI Code Detail

MEDICARE: GRACE E SILVA MS, CCC-SLP

MEDICARE: GRACE E SILVA MS, CCC-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 Pathologist010576GA

General Provider Information

NPI Number : 1427602580
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE E SILVA MS, CCC-SLP
Provider Business Mailing Address
First Line : 2555 STARLING LN
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-4625
Country : US
Telephone Number : 916-821-5183
Fax Number :
Provider Business Practice Location Address
First Line : 5461 MERIDIAN MARKS RD STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4014
Country : US
Telephone Number : 404-785-3856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2019
Last Update Date : 01/06/2023

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Directions to “ GRACE E SILVA MS, CCC-SLP” Practice Location

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