Gravell, Kathryn Elaine

Gravell, Kathryn Elaine is an sole proprietor health care provider with primary practice located at 101 N Edgewood Dr Apt 2 , Hagerstown MD 21740-6518. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gravell, Kathryn Elaine can be contacted via phone (678) 471-2817.

Contact Information

Primary practice address
101 N Edgewood Dr Apt 2 Hagerstown MD 21740-6518
Phone: (678) 471-2817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-SP-LIC-4134 Montana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP 0000004935 Tennessee
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 9250 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005728 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 08396 Maryland

Profile Details

NPI number 1568536928
LBN Legal business name Gravell, Kathryn Elaine
Credentials CCC,SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568536928 NPPES
Georgia Other SLP005728 GA STATE SLP LICENSE #
Georgia MEDICAID 044589267A GA STATE SLP LICENSE #
Georgia Other 08396 GA STATE SLP LICENSE #
Georgia MEDICAID 1568536928 GA STATE SLP LICENSE #
Georgia MEDICAID 892578000 GA STATE SLP LICENSE #
Georgia Other SLP-SP-LIC-4134 GA STATE SLP LICENSE #
Georgia Other SA 9250 GA STATE SLP LICENSE #
Georgia Other SP 0000004935 GA STATE SLP LICENSE #

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