Individual ProviderLisa Vale Grant-RaucciSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2011 Timber Ln, Dayton, OH 45414-4528(937) 278-5885PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Vale Grant-Raucci 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 yesterday at 10:58 AM.Profile DetailsProvider ID1679975684Provider TypeIndividualFull NameGrant-Raucci, Lisa ValeCredentialM.S., CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date9/22/2014Last Updated9/22/2014Contact InformationPractice LocationPractice Address2011 Timber Ln, Dayton, OH 45414-4528Phone(937) 278-5885FaxUnlisted FaxMailing LocationMailing Address2011 Timber Ln, Dayton, OH 45414-4528Phone(937) 278-5885FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP6788Ohio