Doctor Name: | MS. KATHRYN ELAINE GRAVELL |
NPI Number: | 1568536928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC,SLP |
License Number: | SLP005728 |
Business Practice Address: | 570 Diehl Dr Helena, MT - 596015467 |
Business Phone Number: | 6784712817 |
Business Fax Number: | |
Mailing Address: | 570 Diehl Dr, HELENA |
State: | MT |
Postal Code: | 596015467 |
Phone Number: | 6784712817 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005728 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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 |