Dana N Canninmulhearn, | |
1448 Ebert St, Winston Salem, NC 27103-5002 | |
(336) 582-0081 | |
Not Available |
Full Name | Dana N Canninmulhearn |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1448 Ebert St, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639656309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 11832 (North Carolina) | Primary |
Provider Name | Kidology Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730591991 PECOS PAC ID: 3476943887 Enrollment ID: O20211129001112 |
Mailing Address | Practice Location Address |
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Dana N Canninmulhearn, 1448 Ebert St, Winston Salem, NC 27103-5002 Ph: (336) 582-0081 | Dana N Canninmulhearn, 1448 Ebert St, Winston Salem, NC 27103-5002 Ph: (336) 582-0081 |
Liza Brincefield Phillips, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454 | |
Mrs. Erica Blackwelder Harwell, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 | |
Mallory Golden, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454 | |
Janet Eaddy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3505 Dunnbarton Dr, Winston Salem, NC 27107 Phone: 336-788-6088 Fax: 336-788-0953 | |
Jayme Stuart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Salemtowne Dr, Winston Salem, NC 27106 Phone: 336-776-2300 | |
Ms. Jennifer Geib, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 | |
Mrs. J'mia Kae Wade, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2282 Providence Pt Ln Apt 203, Winston Salem, NC 27106 Phone: 336-817-9982 |