JACOB GRAVES CCC-SLP
NPI 1609693803
Speech-Language Pathologist in Bridgeton, MO

Active since September 20, 2024
12303 DE PAUL DR, BRIDGETON, MO 63044(314) 344-6000 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Graves Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB GRAVES CCC-SLP (NPI 1609693803) is an individual speech-language pathologist provider in Bridgeton, Missouri and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1609693803
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJACOB GRAVESCredential: CCC-SLP
Location Address12303 DE PAUL DRBridgeton, MO 63044-2512
Mailing Address5003 Southwood DrGodfrey, IL 62035-1338 · (618) 570-0928
Sole ProprietorYes
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
NPI 1609693803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
12303 DE PAUL DR, Bridgeton, MO 63044

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
12303 DE PAUL DR, RADIOLOGY DEPT
BRIDGETON, MO 63044
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
Nurse Practitioner (Adult Health)
12303 DE PAUL DR
BRIDGETON, MO 63044
Student in an Organized Health Care Education/Training Program
12303 DE PAUL DR
BRIDGETON, MO 63044
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
Hospitalist
12303 DE PAUL DR
BRIDGETON, MO 63044
Internal Medicine (Critical Care Medicine)
12303 DE PAUL DR
BRIDGETON, MO 63044
Psychiatric Unit
12303 DE PAUL DR
BRIDGETON, MO 63044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Graves's NPI number?

The NPI number for Jacob Graves is 1609693803. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Jacob Graves located?

Jacob Graves practices at 12303 De Paul Dr, Bridgeton, MO 63044. The listed phone number is (314) 344-6000.

What is Jacob Graves's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jacob Graves was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.