| Tyra Nicole Graves, CCC-SLP | |
|
112 N Constitution Dr, Yorktown, VA 23692-2792 | |
| (757) 890-0675 | |
| Not Available |
| Full Name | Tyra Nicole Graves |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 112 N Constitution Dr, Yorktown, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023603586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202008424 (Virginia) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20120830000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyra Nicole Graves, CCC-SLP 1257 Petworth Ln, Newport News, VA 23608-7741 Ph: () - | Tyra Nicole Graves, CCC-SLP 112 N Constitution Dr, Yorktown, VA 23692-2792 Ph: (757) 890-0675 |
Chelsea Michelle Carter, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 307 Patriot Way, Yorktown, VA 23693 Phone: 757-870-5637 | |
Kathy Rae Fleming, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 302 Dare Rd, Yorktown, VA 23692 Phone: 757-898-0300 | |
Linda Bergeron, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 302 Dare Rd, Yorktown, VA 23692 Phone: 757-898-0300 | |
Mrs. Courtney Alyse Judson, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3711 Big Bethel Rd, Yorktown, VA 23693 Phone: 757-898-0372 | |
Ms. Rachel Marie Hagelberg, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5731 George Washington Mem Hwy Ste 1b, Yorktown, VA 23692 Phone: 757-373-9689 | |
Robbie Shiran Harris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 302 Dare Rd, Yorktown, VA 23692 Phone: 757-890-5064 |