Graceann Danielle White

Individual provider Active NPI Speech-Language Pathologist · Greenwood, SC

NPI 1184597205 · NPPES record last updated Oct 6, 2025

Key facts

NPI
1184597205
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
9464 (SC)
Practice address
115 Academy Ave
Greenwood, SC 29646-3869
Phone
(864) 725-7062
NPI assigned
Sep 25, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9464SCMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9464 SC Yes

Addresses

Primary practice location

115 Academy Ave
Greenwood, SC 29646-3869

Mailing address

115 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-7062

Other providers in Greenwood, SC

All providers in Greenwood, SC · Speech-Language Pathologist in South Carolina

Sources for this page

Verify at the official NPI Registry.