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MS. KATHRYN ELAINE GRAVELL CCCSLP NPI 1568536928


NPI Information

NPI: 1568536928
Provider Name: MS. KATHRYN ELAINE GRAVELL, CCC,SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
101 N EDGEWOOD DR APT 2
HAGERSTOWN, MD
ZIP 21740
Phone: (678) 471-2817
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MS. Kathryn Elaine Gravell, CCC,SLP is a speech language pathologist in Hagerstown, MD. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MS. Kathryn Elaine Gravell, CCC,SLP NPI is 1568536928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 N EDGEWOOD DR APT 2
HAGERSTOWN, MD
ZIP 21740-518
Phone: (678) 471-2817

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSLP-SP-LIC-4134MONTANANo
2235Z00000XSpeech-Language PathologistSP 0000004935TENNESSEENo
3235Z00000XSpeech-Language PathologistSA 9250FLORIDANo
4235Z00000XSpeech-Language PathologistSLP005728GEORGIANo
5235Z00000XSpeech-Language Pathologist08396MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1044589267AMEDICAIDGEORGIA
208396OTHERMARYLANDMD SLP LICENSE #
3SA 9250OTHERFLORIDAFL STATE SLP LICENSE #
4SLP-SP-LIC-4134OTHERMONTANAMT SLP LINCENSE #
5SLP005728OTHERGEORGIAGA STATE SLP LICENSE #
6SP 0000004935OTHERTENNESSEETN STATE SLP LICENSE #
71568536928MEDICAIDMONTANA
8892578000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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