| Evolve Pediatric Therapy Llc | |
|
164 Rawhide Ln, Shenandoah Junction, WV 25442-4817 | |
| (304) 582-5320 | |
| Not Available |
| Full Name | Evolve Pediatric Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 164 Rawhide Ln, Shenandoah Junction, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538935309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Pediatric Therapy Llc 164 Rawhide Ln, Shenandoah Junction, WV 25442-4817 Ph: () - | Evolve Pediatric Therapy Llc 164 Rawhide Ln, Shenandoah Junction, WV 25442-4817 Ph: (304) 582-5320 |
Samuel Chambers, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 75 Caspian Way, Shenandoah Junction, WV 25442 Phone: 304-885-5020 | |
Rachael Lorinn Spencer, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 103 Shenandoah Junction Rd, Shenandoah Junction, WV 25442 Phone: 304-728-7250 | |
Mrs. Tricia Anne Shumate, MS SPEECH LANGUAGE P Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 103 Shenandoah Junction Road, Ta Lowery Elementary School, Shenandoah Junction, WV 25442 Phone: 304-728-7250 Fax: 304-728-7631 |