| Looper Speech & Hearing Center | |
|
1011 Professional Blvd, Dalton, GA 30720-2506 | |
| (706) 226-4623 | |
| (706) 278-0580 |
| Full Name | Looper Speech & Hearing Center |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1011 Professional Blvd, Dalton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720098536 | NPI | - | NPPES |
| 000196314A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | J213493 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | J213493 (Georgia) | Primary |
| Provider Name | Kathleen Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922018738 PECOS PAC ID: 9931101078 Enrollment ID: I20090728000044 |
| Provider Name | Kathryn-louise Henley Mccreery-scarbor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629581673 PECOS PAC ID: 8729346531 Enrollment ID: I20171228002028 |
| Mailing Address | Practice Location Address |
|---|---|
| Looper Speech & Hearing Center 1011 Professional Blvd, Dalton, GA 30720-2506 Ph: (706) 226-4623 | Looper Speech & Hearing Center 1011 Professional Blvd, Dalton, GA 30720-2506 Ph: (706) 226-4623 |
Mrs. Sandra Kay Petty, MED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721 Phone: 866-261-8090 Fax: 706-226-7869 | |
Margaret Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 Burleyson Rd, Dalton, GA 30720 Phone: 706-226-8900 | |
Diana Godwin Waldrep, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721 Phone: 866-261-8090 Fax: 706-226-7869 | |
Caroline Jenkins, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Professional Blvd, Dalton, GA 30720 Phone: 706-226-4623 | |
Demi Snyder, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Abutment Rd, Dalton, GA 30721 Phone: 706-271-6282 | |
Hannah Lee Cannon, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 Burleyson Rd, Dalton, GA 30720 Phone: 706-226-8900 Fax: 706-226-8905 | |
Carly Paige Ensley, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Abutment Rd, Dalton, GA 30721 Phone: 706-252-8660 |