Provider Demographics
NPI:1902053754
Name:GINGRICH, GRACE ANN (MAED, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:ANN
Last Name:GINGRICH
Suffix:
Gender:
Credentials:MAED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 EVENSONG DR
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-6906
Mailing Address - Country:US
Mailing Address - Phone:502-550-2525
Mailing Address - Fax:877-212-2525
Practice Address - Street 1:3600 EVENSONG DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-6906
Practice Address - Country:US
Practice Address - Phone:502-550-2525
Practice Address - Fax:877-212-2525
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-23
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3143235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist