Provider Demographics
NPI:1205985470
Name:GRAFF, BEVERLY COHN (MSCCC)
Entity type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:COHN
Last Name:GRAFF
Suffix:
Gender:F
Credentials:MSCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S ZANG BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-6600
Mailing Address - Country:US
Mailing Address - Phone:214-943-2222
Mailing Address - Fax:
Practice Address - Street 1:400 S ZANG BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-6600
Practice Address - Country:US
Practice Address - Phone:214-943-2222
Practice Address - Fax:214-946-6201
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11256235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist