Brandi Alishia Moore, MS CCC-SLP | |
404 King Springs Village Pkwy Se, Smyrna, GA 30082-4203 | |
(678) 353-1955 | |
Not Available |
Full Name | Brandi Alishia Moore |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 7 Years |
Location | 404 King Springs Village Pkwy Se, Smyrna, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285120931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP010086 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehabilitation Ga, Llc | 6800162298 | 98 |
Provider Name | Fox Rehabilitation Ga, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023544624 PECOS PAC ID: 6800162298 Enrollment ID: O20171031001120 |
Mailing Address | Practice Location Address |
---|---|
Brandi Alishia Moore, MS CCC-SLP 2916 Clairmont Rd Ne Apt 3102, Brookhaven, GA 30329-4483 Ph: (678) 353-1955 | Brandi Alishia Moore, MS CCC-SLP 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4203 Ph: (678) 353-1955 |
Tiana Sharell Bennett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lake Park Dr Se, Smyrna, GA 30080 Phone: 770-438-6928 | |
Alyssa Noelle Dewberry, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3650 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 678-305-9200 Fax: 678-305-9201 | |
Chelsea Chiarelli, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lake Park Dr Se, Suite 102, Smyrna, GA 30080 Phone: 770-438-6928 | |
Christy Dixon, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1232 Kenway Cir Se, Smyrna, GA 30082 Phone: 678-472-0655 | |
Ms. Kawaii S Ball, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 438 Cumberland Sq Se, Smyrna, GA 30080 Phone: 985-215-2388 | |
Kidz Therapy Spot Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3040 Highlands Pkwy Se, Suite B, Smyrna, GA 30082 Phone: 678-305-9200 Fax: 678-305-9201 | |
Mrs. Kristina Marie Cheek, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2306 Mclean Chase Se, Smyrna, GA 30080 Phone: 217-553-7526 |