Doctor Name: | PATRICIA R GRAHAM |
NPI Number: | 1710099866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 19203 |
Business Practice Address: | 5302 Janelle Dr Killeen, TX - 765495666 |
Business Phone Number: | 2546993933 |
Business Fax Number: | |
Mailing Address: | Po Box 10340, KILLEEN |
State: | TX |
Postal Code: | 765470340 |
Phone Number: | 2546993933 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 03/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |