| Speech By The Beach Inc | |
|
2126 Hwy 9e, Suite C4, Longs, SC 29568-5753 | |
| (843) 734-1076 | |
| (843) 734-1107 |
| Full Name | Speech By The Beach Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 2126 Hwy 9e, Longs, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225515257 | NPI | - | NPPES |
| 8442 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Jennifer I Stephenson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669533006 PECOS PAC ID: 2163727512 Enrollment ID: I20180921000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Speech By The Beach Inc 2126 Hwy 9e, Suite C4, Longs, SC 29568-5753 Ph: (843) 734-1076 | Speech By The Beach Inc 2126 Hwy 9e, Suite C4, Longs, SC 29568-5753 Ph: (843) 734-1076 |
Deandra Holloway, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2126 Highway 9 E Ste C4, Longs, SC 29568 Phone: 843-734-1076 | |
Jane Seitz, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1855 Moonseed Dr, Longs, SC 29568 Phone: 717-434-5321 |