Individual
GRAYCE FRANCES HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
163 E MAIN ST, LITTLE FALLS, NJ 07424-1711
(973) 339-0141
Mailing address
20 JEFFERSON ST, CLIFTON, NJ 07014-1514
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41YS00967800
NJ
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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