Provider Demographics
NPI:1134089055
Name:GRAULICH, JEANNE ELLEN (MA, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:ELLEN
Last Name:GRAULICH
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 NEWBROOK LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3022
Mailing Address - Country:US
Mailing Address - Phone:973-818-1427
Mailing Address - Fax:
Practice Address - Street 1:123 NEWBROOK LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3022
Practice Address - Country:US
Practice Address - Phone:973-818-1427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-13
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00031500237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty