# GRACEFUL SPEECH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558754234
- **Authorized official:** MRS. AISHA CATHERINE DEMOSTHENES SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (718) 813-4234

## Contact information

- **Practice address:** 130 N KING ST, ELMONT, NY 11003-4229
- **Practice address phone:** (718) 813-4234
- **Practice address fax:** (516) 216-1975
- **Mailing address:** 130 N KING ST, ELMONT, NY 11003-4229
- **Mailing address phone:** (718) 813-4234
- **Mailing address fax:** (516) 216-1975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 019729 | NY | Yes |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 03/05/2015