IndividualActive
Courtney Gragg
NPI 1629329552 · Speech-Language Pathologist · Fulton, MO
Provider details
- NPI number
- 1629329552
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2012003891 (MO)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2 Hornet Dr
Fulton, MO 65251-2732
Phone: (573) 590-8000
Approximate (ZIP-level) locationGet directions
Mailing address
2 Hornet Dr
Fulton, MO 65251-2732
Registry dates
- Enumerated
- 2012-10-02
- Last updated
- 2012-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.