Provider Demographics
NPI:1659395978
Name:GRAINGER, APRIL MCDUFFIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MCDUFFIE
Last Name:GRAINGER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 GADDYS MILL RD
Mailing Address - Street 2:
Mailing Address - City:HAMER
Mailing Address - State:SC
Mailing Address - Zip Code:29547-7033
Mailing Address - Country:US
Mailing Address - Phone:843-774-7462
Mailing Address - Fax:843-841-2482
Practice Address - Street 1:126 N MACARTHUR AVE
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-3434
Practice Address - Country:US
Practice Address - Phone:843-774-7462
Practice Address - Fax:843-841-2482
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3847235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4274Medicaid
SCSA0682Medicaid