Provider Demographics
NPI:1962017178
Name:GRAPPE, JOSETTE EMILY (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOSETTE
Middle Name:EMILY
Last Name:GRAPPE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 BATEMAN ST
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-1914
Mailing Address - Country:US
Mailing Address - Phone:309-945-5078
Mailing Address - Fax:
Practice Address - Street 1:1018 S FARNHAM ST
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-6324
Practice Address - Country:US
Practice Address - Phone:309-945-5078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2453615235Z00000X
IL146.015860235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist