Michelle McEntee Graham, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010311 Issued in PA

Practice address

455 Boot Rd
Downingtown, PA 19335-3043

Phone

(484) 237-5150

NPI assigned

Jan 25, 2013

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1972841914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 STRATHAVEN DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BOOT RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353043",
            "telephone_number": "484-237-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MICHELLE",
        "middle_name": "MCENTEE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitch Goldfarb, PROFESSOR
• Carlos Gomez, DMD
• Monica L Gonzalez, MS-CCC-SLP
• Joanna Goss
• John Govannicci
• Dana Greenlaw, MS
• Alvin (a.J.) Jackson Groff III, MA, CCC-SLP
• Growing Healthy Now, LLC
• Sarah Paige Guber, OTD, OTR/L
• Amit Kumar Gupta, PHARMD

• Speech-Language Pathologist in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.