Individual
HEATHER LYNN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
48075 POW WOW HWY, PONSFORD, MN 56575
(218) 573-4100
Mailing address
PO BOX 163, AKELEY, MN 56433-0163
(701) 630-0824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000417663
ND
235Z00000X
Speech-Language Pathologist
1198
ND
235Z00000X
Speech-Language Pathologist
Primary
388918
MN
Other
Enumeration date
11/25/2012
Last updated
04/27/2026
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