# DR. LINDA CAROL GRACCO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184763054
- **Gender:** F
- **Credential:** PH.D. CCCSLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 001935 | CT | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001935 | CONNECTICUT STATE LICENSE | CT |
| 01 | — | 01088100 | ASHA CERTIFICATION NUMBER | CT |