Angelia Dykeman, SLP | |
237 N Woodland Dr, Forest, MS 39074-3307 | |
(601) 564-8750 | |
Not Available |
Full Name | Angelia Dykeman |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 237 N Woodland Dr, Forest, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487307401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | S-4877 (Mississippi) | Primary |
Provider Name | Performance Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549 |
Mailing Address | Practice Location Address |
---|---|
Angelia Dykeman, SLP 921 W Beacon St, Philadelphia, MS 39350-3229 Ph: (601) 650-0002 | Angelia Dykeman, SLP 237 N Woodland Dr, Forest, MS 39074-3307 Ph: (601) 564-8750 |
Larita Goforth, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 | |
Paula Stacy Norman, SLT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Sarah J Jones, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Nancy G Culliver, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 339 W Third St, Forest, MS 39074 Phone: 601-287-8007 Fax: 717-565-1102 | |
Kaylin Mccree, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 237 N Woodland Dr Ste A, Forest, MS 39074 Phone: 601-564-8750 | |
Haley Huey Purvis, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 |