National Provider Identifier
Tamara Marie Graham, MA CCC SLP
Tamara Marie Graham, MA CCC SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 336-0832.
Profile Overview
- NPI
- 1902145618
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 01, 2013
- Last Updated
- October 06, 2020
Practice Location
- 350 Cooper RD.
- Rochester, NY 14617
Phone: (585) 336-0832
Mailing Address
- 150 Colebrook Dr
- Rochester, NY 14617-2216
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1902145618
- Entity Type
- Individual
- Last Name
- Graham
- First Name
- Tamara
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- MA CCC SLP
- Mailing Street Address
- 150 Colebrook Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-2216
- Mailing Country
- US
- Mailing Phone
- (585) 336-0832
- Practice Street Address
- 350 Cooper RD.
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617
- Practice Country
- US
- Practice Phone
- (585) 336-0832
- Practice Fax
- (585) 336-3072
- Enumeration Date
- February 01, 2013
- Last Updated
- October 06, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 06, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)