| Theraspace Llp | |
|
1409 S Highway 69, Nederland, TX 77627-7842 | |
| (409) 344-9089 | |
| (409) 344-9390 |
| Full Name | Theraspace Llp |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1409 S Highway 69, Nederland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710588082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Corynn Stokes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083266142 PECOS PAC ID: 0547670309 Enrollment ID: I20201105001432 |
| Provider Name | Jacie Layne Smith-hyatt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649879024 PECOS PAC ID: 5092116814 Enrollment ID: I20210630002816 |
| Provider Name | Jaycie Young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548943350 PECOS PAC ID: 7517320583 Enrollment ID: I20230824001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Theraspace Llp 269 County Road 4185, Orange, TX 77632-8620 Ph: (409) 670-6566 | Theraspace Llp 1409 S Highway 69, Nederland, TX 77627-7842 Ph: (409) 344-9089 |
Jennifer Caltzontzin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 N 17th St, Nederland, TX 77627 Phone: 409-724-2391 | |
Mallory Elizabeth Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 N 17th St, Nederland, TX 77627 Phone: 409-727-5765 | |
Kelsie Sue Carlquist, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 N 17th St, Nederland, TX 77627 Phone: 409-724-2391 | |
Keely Vega, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 N 17th St, Nederland, TX 77627 Phone: 409-724-2391 | |
Amy Blount, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 N 17th St, Nederland, TX 77627 Phone: 409-722-0462 |