Dena Moore, MS, CCC-SLP | |
400 Hospital Rd, New Roads, LA 70760-2623 | |
(225) 638-4404 | |
Not Available |
Full Name | Dena Moore |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 400 Hospital Rd, New Roads, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194362434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 09145471 (Louisiana) | Primary |
Provider Name | Synergy Care Southeast, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624 |
Mailing Address | Practice Location Address |
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Dena Moore, MS, CCC-SLP Po Box 7, Lakeland, LA 70752-0007 Ph: (225) 931-4457 | Dena Moore, MS, CCC-SLP 400 Hospital Rd, New Roads, LA 70760-2623 Ph: (225) 638-4404 |
Monique Evans, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 142 New Roads St, New Roads, LA 70760 Phone: 225-618-9955 | |
Kathleen Carr, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 142 New Roads St., New Roads, LA 70760 Phone: 225-618-9955 | |
Chrystal Lachney Billiot, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Poydras St, New Roads, LA 70760 Phone: 225-721-3878 | |
Laticia K Johnson, CF-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 345 Major Pkwy, New Roads, LA 70760 Phone: 225-638-7050 | |
Ms. Alice Alcide Bondy, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1202 E Main St, New Roads, LA 70760 Phone: 225-638-6052 Fax: 225-638-7034 | |
Maia Thibadeaux, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 142 New Roads St, New Roads, LA 70760 Phone: 225-618-9955 |