Mykell Gray
Individual provider Active NPI Speech-Language Assistant · Grand Terrace, CA
NPI 1669327656 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1669327656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 3291 (CA)
- Practice address
- 22365 Barton Rd Ste 104
Grand Terrace, CA 92313-5037 - Phone
- (909) 824-2899
- NPI assigned
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Oaks Speech Therapy Services PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 3291 | CA | Yes |
Addresses
Primary practice location
22365 Barton Rd Ste 104
Grand Terrace, CA 92313-5037
Mailing address
22365 Barton Rd Ste 104
Grand Terrace, CA 92313-5037
Phone (909) 824-2899
Other providers in Grand Terrace, CA
- Qiana A Gonzalez Garcia
- Gabriel Jesus Gonzalez
- Jocselyn Gonzalez
- Grand Terrace Health Care, Inc.
- Grand Terrace Modern Dentistry, Inc
- Natalie Ann Hagan
- Donald L Hamby
- Rheanna Denise Harrod
- Brian Thomas Haven
- Health Enterprises
All providers in Grand Terrace, CA · Speech-Language Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.