Provider Demographics
NPI:1831671494
Name:MCGRAW, SAVANNAH (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:L
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 126322
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76126-0322
Mailing Address - Country:US
Mailing Address - Phone:817-791-9262
Mailing Address - Fax:
Practice Address - Street 1:12550 GUMPER CT
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76126-6317
Practice Address - Country:US
Practice Address - Phone:817-601-5147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113517235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist