Provider Demographics
NPI:1427012343
Name:GRADY, CHRISTIN ADKINS (SLP MS CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIN
Middle Name:ADKINS
Last Name:GRADY
Suffix:
Gender:F
Credentials:SLP MS CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 BARONS WAY
Mailing Address - Street 2:
Mailing Address - City:TRENT WOODS
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4550
Mailing Address - Country:US
Mailing Address - Phone:252-670-3786
Mailing Address - Fax:
Practice Address - Street 1:3604 BARONS WAY
Practice Address - Street 2:
Practice Address - City:TRENT WOODS
Practice Address - State:NC
Practice Address - Zip Code:28562-4550
Practice Address - Country:US
Practice Address - Phone:252-670-3786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4892235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC127AMOtherBC