Provider Demographics
NPI:1124701578
Name:GRAMS, BERLYN TAYLOR (SLP)
Entity type:Individual
Prefix:
First Name:BERLYN
Middle Name:TAYLOR
Last Name:GRAMS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:BERLYN
Other - Middle Name:T
Other - Last Name:SALWEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:4215 31ST AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7742
Mailing Address - Country:US
Mailing Address - Phone:701-478-0221
Mailing Address - Fax:701-478-0222
Practice Address - Street 1:4215 31ST AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7742
Practice Address - Country:US
Practice Address - Phone:701-478-0221
Practice Address - Fax:701-478-0222
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist