Lively Speech And Language Therapy | |
111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092-3065 | |
(904) 729-6759 | |
(904) 490-8549 |
Full Name | Lively Speech And Language Therapy |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 111 Nature Walk Pkwy Unit 108, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912614488 | NPI | - | NPPES |
SA12730 | Other | FL | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL |
SA14057 | Other | FL | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SARAH LIVELY |
SA20932 | Other | FL | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY MALLORY ABERCROMBIE |
SA19092 | Other | FL | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SONYA OLSEN |
SA19465 | Other | FL | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY JULIANNE TRAUNER |
SA15493 | Other | FL | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AJA WALKER |
SA16825 | Other | FL | FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SAMANTHA REPALONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Sarah Marie Lively |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1740721885 PECOS PAC ID: 8123489945 Enrollment ID: I20230726003204 |
Mailing Address | Practice Location Address |
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Lively Speech And Language Therapy 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092-3065 Ph: (904) 729-6759 | Lively Speech And Language Therapy 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092-3065 Ph: (904) 729-6759 |
Kristin Bowman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092 Phone: 904-230-7761 Fax: 904-230-7763 | |
Benjamin Manning, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Water St, St Augustine, FL 32084 Phone: 727-364-4024 | |
Pamela P Crawford, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 542 Sarto Ct, St Augustine, FL 32086 Phone: 904-797-6405 | |
Julia Affronti, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092 Phone: 904-328-7489 | |
Dianne Roosen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Coleman Dr, St Augustine, FL 32084 Phone: 727-967-1036 | |
Caitlin Mason, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Water St, St Augustine, FL 32084 Phone: 727-364-4024 | |
Rachelle Nicholson Mccranie, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 362 Rosa Ct, St Augustine, FL 32086 Phone: 904-315-4265 |