Individual ProviderGrace Elizabeth MooradianSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address22 Bramhall St, Portland, ME 04102-3134(207) 662-0111PECOS EnrollmentBased on the most recent information from CMS, provider Grace Elizabeth Mooradian does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1861208464Provider TypeIndividualFull NameMooradian, Grace ElizabethCredentialMS, CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date12/9/2024Last Updated12/9/2024Contact InformationPractice LocationPractice Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-0111FaxUnlisted FaxMailing LocationMailing Address22 Bramhall St, Portland, ME 04102-3134PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP4118MaineCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer