Svetlana Stojanow Graber, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4675 Issued in AZ

Practice address

10049 E Dynamite Blvd
Suite 110
Scottsdale, AZ 85262-3694

Phone

(480) 570-8154

Fax

(480) 538-5258

NPI assigned

Feb 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamite Therapy, LLC

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1730388828
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710013008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 78TH PL APT 1123",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553835",
            "telephone_number": "480-570-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 E DYNAMITE BLVD",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623694",
            "telephone_number": "480-570-8154",
            "fax_number": "480-538-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "SVETLANA",
        "middle_name": "STOJANOW",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohit Goyal, MD
• Ashu Kumar Goyle, DO
• GPS Psychiatry PLLC
• Amelia Jane Graber, PT, DPT
• Gregory Graber, DDS
• Erica Grabinski, DO
• Stephanie Diane Grable, BS
• Grace Zlaket Matta MD LLC
• Graceful Homes
• Graceful Living Chiropractic

• Speech-Language Pathologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.