Active NPIIndividual providerSole proprietor

Jessie Graham, MS, CCC-SLP

Speech-Language Pathologist, in Waitsfield, Vermont

NPI Number1487982658
Practice location
1109 Brook RD, Waitsfield, VT 05673-7153
Fax
802-496-7824
Last updated
November 30, 2009

Jessie Graham is a Speech-Language Pathologist, based in Waitsfield, VT. Jessie Graham practices in Waitsfield, VT and has the professional credentials of MS, CCC-SLP. The NPI Number for Jessie Graham is 1487982658. The current practice location address for Jessie Graham is 1109 Brook RD, Waitsfield, VT 05673-7153 and can be reached out via phone at 802-496-4668 and via fax at 802-496-7824.

Provider Profile Details

NPI Number
1487982658
Provider Name
Jessie Graham
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1109 Brook RD, Waitsfield, VT 05673-7153
Phone Number
802-496-4668
Fax Number
802-496-7824
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2009
Last Update Date
November 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1109 Brook RD
Waitsfield, VT 05673-7153
State
Vermont
Zip
05673-7153
Phone Number
802-496-4668
Fax Number
802-496-7824
Waitsfield, VT 05673Get directions →

Provider Business Mailing Address Details

Address
Po Box 768
Waitsfield, VT 05673-0768
City
Waitsfield
State
VT
Zip
05673-0768
Phone Number
802-496-4668
Fax Number
802-496-7824

License Information

License State
VT
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 Jessie Graham, MS, CCC-SLP?

The NPI number of Jessie Graham, MS, CCC-SLP is 1487982658. It was assigned on November 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Jessie Graham, MS, CCC-SLP?

Jessie Graham, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Jessie Graham, MS, CCC-SLP practice?

The practice location is 1109 Brook RD, Waitsfield, VT 05673-7153. The office can be reached at 802-496-4668 (phone) or 802-496-7824 (fax).

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 1487982658 directly on the NPPES registry website.

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