Most Relevant Information
Provider Data
| NPI Number: | 1003523598 |
| Provider Name: | GRACE WYGAND M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 14431586 |
Most Important Dates
| Enumeration Date: | 11/03/2022 |
| Last Updated: | 11/03/2022 |
Provider Practice Location
45 HARBOR RD
OYSTER BAY
NY
117711701
Practice Location Phone/Fax
| Phone: | 5164131579 |
| Fax: |
Provider Mailing Location
45 HARBOR RD
OYSTER BAY
NY
117711701
Provider Mailing Phone/Fax
| Phone: | 5164131579 |
| Fax: |