Active NPIIndividual provider

Kelly A Graham, MA-SLP

Speech-Language Pathologist, in Eatontown, New Jersey

NPI Number1215157854
Practice location
3 Industrial Way E, Eatontown, NJ 07724-3318
Fax
—
Last updated
February 3, 2023

Kelly Ann Graham is a Speech-Language Pathologist, based in Eatontown, NJ. Kelly Ann Graham practices in Eatontown, NJ and has the professional credentials of MA-SLP. The NPI Number for Kelly Ann Graham is 1215157854 and holds a License No. 41YS00541200 (NJ). The current practice location address for Kelly Ann Graham is 3 Industrial Way E, Eatontown, NJ 07724-3318 and can be reached out via phone at 732-544-1557.

Provider Profile Details

NPI Number
1215157854
Provider Name
Kelly Ann Graham
Credential
MA-SLP
Provider Entity Type
Individual
Gender
Female
Address
3 Industrial Way E, Eatontown, NJ 07724-3318
Phone Number
732-544-1557
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 26, 2007
Last Update Date
February 3, 2023
Certification Date
February 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Industrial Way E
Eatontown, NJ 07724-3318
Zip
07724-3318
Phone Number
732-544-1557
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
8 Country Club RD
Apartment #26
Eatontown, NJ 07724-1119
City
Eatontown
State
NJ
Zip
07724-1119

License Information

License Number
41YS00541200
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly A Graham, MA-SLP?

The NPI number of Kelly A Graham, MA-SLP is 1215157854. It was assigned on April 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Kelly A Graham, MA-SLP?

Kelly A Graham, MA-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00541200.

Where does Kelly A Graham, MA-SLP practice?

The practice location is 3 Industrial Way E, Eatontown, NJ 07724-3318. The office can be reached at 732-544-1557 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215157854 directly on the NPPES registry website.

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