| Andrea Tyler, | |
|
1000 Johns Rd, Laurinburg, NC 28352-5122 | |
| (910) 221-4307 | |
| Not Available |
| Full Name | Andrea Tyler |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1000 Johns Rd, Laurinburg, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689441420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2112091 (North Carolina) | Primary |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Tyler, 251 Chapelwood Cir, Pembroke, NC 28372-7721 Ph: () - | Andrea Tyler, 1000 Johns Rd, Laurinburg, NC 28352-5122 Ph: (910) 221-4307 |
Ms. Melody K Stills, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 714 Atkinson Street, Laurinburg, NC 28352 Phone: 910-423-5622 Fax: 910-423-5538 | |
Kierstin Brooks Godfrey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 704b Progress Pl, Laurinburg, NC 28352 Phone: 910-217-1862 Fax: 910-506-4076 | |
Carolina Therapy Associates, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 West Boulevard, Laurinburg, NC 28352 Phone: 910-506-4810 | |
Rebecca Amber Crowe Russell, M.S. , CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 13721 Heritage Dr, Laurinburg, NC 28352 Phone: 910-206-8228 | |
Kali M Deese, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 714 Atkinson St, Laurinburg, NC 28352 Phone: 910-277-1588 Fax: 910-277-1589 | |
Mrs. Katherine Covington Bullard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 416 S King St, Laurinburg, NC 28352 Phone: 910-276-3313 | |
Robin Davis, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 714 Atkinson St, Laurinburg, NC 28352 Phone: 910-277-1588 Fax: 910-277-1589 |