Cheyenna Sky Frederick, | |
2030 Chilhowee Medical Park, Maryville, TN 37804-5285 | |
(865) 982-3400 | |
Not Available |
Full Name | Cheyenna Sky Frederick |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2030 Chilhowee Medical Park, Maryville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619635075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7804 (Tennessee) | Primary |
Provider Name | Solace Pediatric Healthcare Therapy Services Az, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669533105 PECOS PAC ID: 2163784299 Enrollment ID: O20180329000661 |
Mailing Address | Practice Location Address |
---|---|
Cheyenna Sky Frederick, Po Box 5209, Maryville, TN 37802-5209 Ph: (865) 982-3400 | Cheyenna Sky Frederick, 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 Ph: (865) 982-3400 |
Holly L Thiele, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Chilhowee Medical Park, Maryville, TN 37804 Phone: 865-892-3400 Fax: 865-982-3410 | |
Sara Moadi, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Chilhowee Medical Park, Maryville, TN 37804 Phone: 865-982-3400 Fax: 865-238-2034 | |
Mrs. Lori J Watson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Chilhowee Medical Park, Maryville, TN 37804 Phone: 865-982-3400 Fax: 865-982-3410 | |
Bobbie Wear Beckmann, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Chilhowee Medical Park, Maryville, TN 37804 Phone: 865-982-3400 Fax: 865-982-3410 | |
Melissa Crouch Boley, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2648 Sevierville Rd, Maryville, TN 37804 Phone: 865-738-2807 | |
Cassidy Adams, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Chilhowee Medical Park, Maryville, TN 37804 Phone: 865-982-3400 Fax: 865-238-2034 | |
Kristi Clark Correll, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 East Lamar Alexander Parkway, Maryville, TN 37804 Phone: 865-982-3400 Fax: 865-982-3410 |