Individual
DR. LINDA CAROL GRACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. CCCSLP
Contact information
Practice address
652 BOSTON POST RD, GUILFORD, CT 06437-2719
(203) 453-5083
(203) 453-0639
Mailing address
652 BOSTON POST RD, GUILFORD, CT 06437-2719
(203) 453-5083
(203) 453-0639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001935
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001935
CONNECTICUT STATE LICENSE
CT
01
—
01088100
ASHA CERTIFICATION NUMBER
CT
Enumeration date
02/06/2007
Last updated
07/08/2007
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