| Gabrielle Ferguson, | |
|
3888 Lavista Rd, Tucker, GA 30084-5142 | |
| (866) 991-0900 | |
| Not Available |
| Full Name | Gabrielle Ferguson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3888 Lavista Rd, Tucker, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255878682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 113232 (Texas) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP009191 (Georgia) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140 |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20171207000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Ferguson, 3888 Lavista Rd, Tucker, GA 30084-5142 Ph: (770) 938-5740 | Gabrielle Ferguson, 3888 Lavista Rd, Tucker, GA 30084-5142 Ph: (866) 991-0900 |
Ms. Danielle Moore, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3756 Lavista Rd, Suite 104, Tucker, GA 30084 Phone: 404-477-9400 | |
Marcelle Foley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1979 Lakeside Pkwy, Tucker, GA 30084 Phone: 866-755-4599 | |
Mrs. Jarrett Roux Jackson, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3756 Lavista Rd, Suite 104, Tucker, GA 30084 Phone: 404-477-9400 | |
Mr. Troy E Parr, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1979 Lakeside Pkwy Ste 800, Tucker, GA 30084 Phone: 866-507-3049 Fax: 866-222-6230 | |
Jessica Spruyt, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3756 Lavista Rd Suite 104, Tucker, GA 30084 Phone: 404-477-9400 | |
Mrs. Helayne Solomon, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3756 Lavista Rd, Suite 104, Tucker, GA 30084 Phone: 404-457-6890 | |
Candance Purcell, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1979 Lakeside Parkway Suite 800, Tucker, GA 30084 Phone: 866-507-3049 |