Brian Tye, SPEECH THERAPIST | |
1168 Chulio Rd Se, Rome, GA 30161-4084 | |
(706) 802-0990 | |
Not Available |
Full Name | Brian Tye |
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Gender | Male |
Speciality | Speech-language Pathologist |
Location | 1168 Chulio Rd Se, Rome, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871190561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP005445 (Georgia) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
Mailing Address | Practice Location Address |
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Brian Tye, SPEECH THERAPIST 309 Roswell Ave Se, Rome, GA 30161-6059 Ph: (706) 331-0213 | Brian Tye, SPEECH THERAPIST 1168 Chulio Rd Se, Rome, GA 30161-4084 Ph: (706) 802-0990 |
Lauren Beaird, M. ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242 Fax: 706-295-4260 | |
Cheryl Lett Brown, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14a Professional Ct Sw, Rome, GA 30165 Phone: 706-295-4242 Fax: 706-295-4260 | |
Maddison T. Destefano, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242 Fax: 706-295-4260 | |
Laura Beth Mcray, MS.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 | |
Stevanie Pruitt-bell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242 Fax: 706-295-4260 | |
Ms. Christa Butzin-evans, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1308 Dean Ave Se, Rome, GA 30161 Phone: 706-802-1991 Fax: 706-802-1408 | |
Ms. Margaret Louise Isaacs, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 |