| Brooke Elizabeth Faircloth, MS,CCC-SLP | |
|
8254 118th Ave Ste 100, Largo, FL 33773-5027 | |
| (727) 541-5304 | |
| Not Available |
| Full Name | Brooke Elizabeth Faircloth |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 8254 118th Ave Ste 100, Largo, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407407257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SZ9314 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | SA18082 (Florida) | Primary |
| Provider Name | Lampert's Home Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265441810 PECOS PAC ID: 5597659516 Enrollment ID: O20040211000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Elizabeth Faircloth, MS,CCC-SLP 3015 S Ysabella Ave Apt F, Tampa, FL 33629-8160 Ph: (813) 244-7616 | Brooke Elizabeth Faircloth, MS,CCC-SLP 8254 118th Ave Ste 100, Largo, FL 33773-5027 Ph: (727) 541-5304 |
Kacie Morgan Mercado, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8254 118th Ave Ste 100, Largo, FL 33773 Phone: 727-541-5304 | |
Jessica Lauren Tate, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3600 Oak Manor Ln, Largo, FL 33774 Phone: 727-219-9025 | |
Mr. Norman Rogover, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10929 Ridge Rd, Largo, FL 33778 Phone: 727-682-0056 Fax: 727-935-4844 | |
Megan Kinney, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8254 118th Avenue North, Ste 100, Largo, FL 33773 Phone: 727-541-5304 | |
Lisa Rae O'hanlan, M.ED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1725 E Bay Dr, Largo, FL 33771 Phone: 727-582-9665 | |
Shanette Crume, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8254 118th Ave Ste 100, Largo, FL 33773 Phone: 727-541-5304 | |
Lindsey Michelle Geiger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8254 118th Ave Ste 100, Largo, FL 33773 Phone: 727-541-5204 |