Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace M Pucciarelli

Individual provider Speech-Language Pathologist · NPI 1689416224

Grace M Pucciarelli is a Qualified Speech Language Pathologist in Jamestown, New York. Qualified in 2024, 2 years ago. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

774 Fairmount Ave
Jamestown, NY 14701-2609
Phone: (716) 338-0668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 035605 (NY)

Record details

NPI number1689416224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2024
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address774 Fairmount Ave, Jamestown, NY 14701-2609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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