Most Relevant Information
Provider Data
| NPI Number: | 1003432352 |
| Provider Name: | SHIRLEY ANN GRAVES CCC/SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | YSO2365 |
Most Important Dates
| Enumeration Date: | 06/23/2020 |
| Last Updated: | 06/23/2020 |
Provider Practice Location
925 S BLACK HORSE PIKE STE B
WILLIAMSTOWN
NJ
080941900
Practice Location Phone/Fax
| Phone: | 8565625892 |
| Fax: |
Provider Mailing Location
152 STOKES RD
MEDFORD LAKES
NJ
080551523
Provider Mailing Phone/Fax
| Phone: | 6093046141 |
| Fax: |