Individual
ELYSE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3188 LANTZ RD, BEAVERCREEK, OH 45432-2518
(937) 427-8468
Mailing address
3188 LANTZ RD, BEAVERCREEK, OH 45432-2518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7625
OH
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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