National Provider Identifier

Grace Keegan, M.S.CCC-SLP

Grace Keegan, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Spencerport, NY and a listed phone number of (585) 617-2475.

NPI 1629668082Spencerport, NYSpeech-Language Pathologist

Profile Overview

NPI
1629668082
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 20, 2021
Last Updated
January 20, 2021

Practice Location

  • 3599 Big Ridge RD
  • Spencerport, NY 14559-1709

Phone: (585) 617-2475

Mailing Address

  • 61 Merriman St Apt 2
  • Rochester, NY 14607-1735

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1629668082
Entity Type
Individual
Last Name
Keegan
First Name
Grace
Credential
M.S.CCC-SLP
Mailing Street Address
61 Merriman St Apt 2
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1735
Mailing Country
US
Mailing Phone
(315) 378-8957
Practice Street Address
3599 Big Ridge RD
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1709
Practice Country
US
Practice Phone
(585) 617-2475
Enumeration Date
January 20, 2021
Last Updated
January 20, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)