| Doctor Name: | TREVA LYNN GRAVES |
| NPI Number: | 1386976223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC/SLP |
| License Number: | 01578 |
| Business Practice Address: | 700 N.w. 7th Street Pocahontas Manor Pocahontas, IA - 50574 |
| Business Phone Number: | 7122624704 |
| Business Fax Number: | |
| Mailing Address: | 1522 W 14th St, SPENCER |
| State: | IA |
| Postal Code: | 513012864 |
| Phone Number: | 7125805009 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2010 |
| NPI Last Update Date: | 02/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01578 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| 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 |