Doctor Name: | MICHELLE GRAHAM |
NPI Number: | 1053665224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 015757-1 |
Business Practice Address: | 130 E 77th St 10th Floor, Nyhni New York, NY - 100751851 |
Business Phone Number: | 2124344500 |
Business Fax Number: | |
Mailing Address: | 100 E 77th St, Lenox Hill Hospital NEW YORK |
State: | NY |
Postal Code: | 100751850 |
Phone Number: | 2124343021 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2012 |
NPI Last Update Date: | 11/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015757-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |