| Making Waves Pediatric Therapy Clinic Llc | |
|
2600 James Rd Ste 300, Granbury, TX 76049-3123 | |
| (949) 355-5291 | |
| Not Available |
| Full Name | Making Waves Pediatric Therapy Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2600 James Rd Ste 300, Granbury, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326639535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Rebeca Schroeder |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619568607 PECOS PAC ID: 0244649671 Enrollment ID: I20210514000452 |
| Provider Name | Stacey M Willmon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245561083 PECOS PAC ID: 9032516299 Enrollment ID: I20210930001957 |
| Mailing Address | Practice Location Address |
|---|---|
| Making Waves Pediatric Therapy Clinic Llc 2600 James Rd Ste 300, Granbury, TX 76049-3123 Ph: (817) 910-8131 | Making Waves Pediatric Therapy Clinic Llc 2600 James Rd Ste 300, Granbury, TX 76049-3123 Ph: (949) 355-5291 |
Melissa Dominguez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1300 James Rd, Granbury, TX 76049 Phone: 817-300-8781 | |
Melissa A Moore, M.A.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1030 E Highway 377, 202, Granbury, TX 76048 Phone: 817-372-7380 | |
Laura Anne Bushong, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2800 French Kingston Ct, Granbury, TX 76049 Phone: 832-671-7900 | |
Ms. Toni Renee Welch-solsbery, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 N. Jones Street, Granbury, TX 76048 Phone: 817-408-4050 | |
Chloe Micalizzi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 N Jones St, Granbury, TX 76048 Phone: 817-408-4000 | |
Matthew Dumican, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1300 E 2nd St, Granbury, TX 76048 Phone: 817-408-3800 | |
Mary Renee Thurston-smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 311 Davis Rd, Granbury, TX 76049 Phone: 817-408-4768 |