Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessica P Graham, MEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1578339297

Mrs. Jessica P Graham, MEDCCC-SLP is a Speech-Language Pathologist in Forsyth, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
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Practice location Address checks out

103 Kyndall Ln
Forsyth, GA 31029-8762
Phone: (478) 955-1204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP009104 (GA)

Record details

NPI number1578339297
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCC-SLP
Sole proprietorYes
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

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