Cassandra E Ford, | |
156 Coatbridge Dr, Blythewood, SC 29016-9168 | |
(803) 404-1175 | |
Not Available |
Full Name | Cassandra E Ford |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 156 Coatbridge Dr, Blythewood, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255825915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 6559 (South Carolina) | Primary |
235Z00000X | Speech-language Pathologist | 2828 (Nebraska) | Secondary |
Provider Name | The Weston Group Of South Carolina Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073957064 PECOS PAC ID: 2062651185 Enrollment ID: O20130621000455 |
Mailing Address | Practice Location Address |
---|---|
Cassandra E Ford, 156 Coatbridge Dr, Blythewood, SC 29016-9168 Ph: (803) 404-1175 | Cassandra E Ford, 156 Coatbridge Dr, Blythewood, SC 29016-9168 Ph: (803) 404-1175 |
Clarissa Bennett, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2016 Dobson Road, Blythewood, SC 29016 Phone: 803-714-5644 | |
Communication Dynasty, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 213 White Stag Cir, Blythewood, SC 29016 Phone: 803-917-6177 Fax: 864-757-9209 | |
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