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

Stephanie Michelle Grave de Peralta, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1164709655

Stephanie Michelle Grave de Peralta, MACCC-SLP is a Speech-Language Pathologist in Wellington, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
Specialties on file
2

Practice location Address checks out

428 Goldenwood Way
Wellington, FL 33414-4970
Phone: (561) 795-5779
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 SA 8041 (FL)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1164709655
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedNovember 10, 2011
Last updated in NPPESApril 10, 2012

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