Individual
AMY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
458 ALL SKY DR, COLORADO SPRINGS, CO 80921-2889
(719) 888-9555
Mailing address
458 ALL SKY DR, COLORADO SPRINGS, CO 80921-2889
(719) 888-9555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002380
CO
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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