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STEPHANIE MICHELLE GRAVE DE PERALTA MA CCC-SLP NPI 1164709655


NPI Information

NPI: 1164709655
Provider Name: STEPHANIE MICHELLE GRAVE DE PERALTA, MA CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
428 GOLDENWOOD WAY
WELLINGTON, FL
ZIP 33414
Phone: (561) 795-5779
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Stephanie Michelle Grave De Peralta, MA CCC-SLP is a speech language pathologist in Wellington, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Stephanie Michelle Grave De Peralta, MA CCC-SLP NPI is 1164709655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

428 GOLDENWOOD WAY
WELLINGTON, FL
ZIP 33414-970
Phone: (561) 795-5779

The enumeration date for this NPI number is 11/10/2011 and was last updated on 4/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Q00000XDevelopmental TherapistNo
2235Z00000XSpeech-Language PathologistSA 8041FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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