Brigitte Gil Lacy, MS, CCC-SLP | |
503 N Main St, Chase City, VA 23924-1407 | |
(434) 533-3367 | |
(434) 830-0566 |
Full Name | Brigitte Gil Lacy |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 503 N Main St, Chase City, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649908724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 2202001330 (Virginia) | Primary |
Provider Name | Ezephysical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477047280 PECOS PAC ID: 2860738010 Enrollment ID: O20190417001902 |
Mailing Address | Practice Location Address |
---|---|
Brigitte Gil Lacy, MS, CCC-SLP 2055 Salishan Dr, Halifax, VA 24558-3309 Ph: () - | Brigitte Gil Lacy, MS, CCC-SLP 503 N Main St, Chase City, VA 23924-1407 Ph: (434) 533-3367 |
Nicole Newcomb, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5539 Hwy 47, Chase City, VA 23924 Phone: 434-372-1000 | |
Morgan Sullivan, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 589 Le Grande Road, Chase City, VA 23924 Phone: 434-233-2390 | |
Kaitlynn Anne Gutierrez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4883 Hwy 47, Chase City, VA 23924 Phone: 561-994-6590 | |
Mrs. Kathryn Brooke Young Wilkerson, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5539 Highway Forty Seven, Chase City, VA 23924 Phone: 434-372-8885 Fax: 434-372-4162 |