Dana Graham, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3873 Issued in ME

Practice address

125 Goff Ave Unit 1202
Pawtucket, RI 02860-3096

Phone

(401) 207-5239

NPI assigned

Apr 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1811683196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GOFF AVE UNIT 1202",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603096",
            "telephone_number": "401-207-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 GOFF AVE UNIT 1202",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603096",
            "telephone_number": "401-207-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DANA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2024-01-18",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01657",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Gosselin
• Mellissa Gosset, FNP-BC
• Sarah Nellisa Gouck, DPT
• Janet Grace, PH.D
• Steven Graff, MD
• Lily Julia Granai
• Hanna Green
• Nicole Greenway, LDN
• Kristin Lynch Gregg, M.D.
• James Gerard Gregory, LICSW

• Speech-Language Pathologist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.