Provider Demographics
NPI:1225423346
Name:GRAEF, MONIKA B (MA)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:B
Last Name:GRAEF
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 44TH ST SW
Mailing Address - Street 2:STE 400
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-6837
Mailing Address - Country:US
Mailing Address - Phone:616-530-8100
Mailing Address - Fax:616-530-8855
Practice Address - Street 1:2660 44TH ST SW
Practice Address - Street 2:STE 400
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-6837
Practice Address - Country:US
Practice Address - Phone:616-530-8100
Practice Address - Fax:616-530-8855
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000665231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist