Active NPI
Cynthia R Graham, SLP
- Speech-Language Pathologist
- Gaylord, MI
National Provider Identifier
1730654740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101008755
- Practice address
- 825 N Center Ave
Gaylord, MI 49735-1592 - Phone
- (989) 731-2100
- NPI assigned
- Oct 5, 2018
- Reactivated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101008755 | MI | Primary |
Addresses
Primary practice location
825 N Center Ave
Gaylord, MI 49735-1592
Mailing address
3782 Feldhauser Rd
Frederic, MI 49733-9552
Phone (989) 370-3479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101008755 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1730654740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3782 FELDHAUSER RD",
"city": "FREDERIC",
"state": "MI",
"postal_code": "497339552",
"telephone_number": "989-370-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N CENTER AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351592",
"telephone_number": "989-731-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CYNTHIA",
"middle_name": "R",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"deactivation_date": "2024-04-01",
"reactivation_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101008755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.