Individual
GRACE DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
211 E SIX FORKS RD STE 107, RALEIGH, NC 27609-7743
(919) 619-2355
Mailing address
9400 N CENTRAL EXPY STE 306, DALLAS, TX 75231-5039
(972) 581-4540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
120097
TX
235Z00000X
Speech-Language Pathologist
Primary
30003231
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120085901
—
TX
01
—
120097
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
01
—
30003231
NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGISTS
NC
Enumeration date
09/21/2023
Last updated
02/11/2025
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