Eryn Lee Graham, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2015028861 Issued in MO

Practice address

407 16TH Ave S
Greenwood, MO 64034-9782

Phone

(816) 560-5641

NPI assigned

May 13, 2016

Reactivated

Aug 11, 2021

Last updated

Aug 11, 2021By 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 2

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1972959427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 16TH AVE S",
            "city": "GREENWOOD",
            "state": "MO",
            "postal_code": "640349782",
            "telephone_number": "816-560-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 16TH AVE S",
            "city": "GREENWOOD",
            "state": "MO",
            "postal_code": "640349782",
            "telephone_number": "816-560-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ERYN",
        "middle_name": "LEE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "deactivation_date": "2021-07-12",
        "reactivation_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2015028861",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarisse Ekei Ebua, CPTA
• Wilfred Wallang Ebua
• Robyn Jacinda Ford, RN
• Stuart V Gauld, REGISTERED NURSE
• Jennifer Grabmiller
• Caroline Hamblin
• Helping Hands Theraeputic Center
• Helping Hands Therapy Services
• Christina Hering-Biggs, D.C.
• Jamie Michelle Huffman, M.S., CCC-SLP

• Speech-Language Pathologist in Greenwood, MO
• Providers in Greenwood, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.