| Glenn Courtney Barnes, SLP | |
|
9765 Walnut Grove Trl, Villa Rica, GA 30180-4190 | |
| (770) 570-2140 | |
| Not Available |
| Full Name | Glenn Courtney Barnes |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 9765 Walnut Grove Trl, Villa Rica, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164003141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP010654 (Georgia) | Primary |
| Provider Name | Crucible Communication Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174161624 PECOS PAC ID: 6608270681 Enrollment ID: O20210812003659 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Courtney Barnes, SLP 1700 Northside Dr Nw Ste A7, Atlanta, GA 30318-2695 Ph: (770) 570-2140 | Glenn Courtney Barnes, SLP 9765 Walnut Grove Trl, Villa Rica, GA 30180-4190 Ph: (770) 570-2140 |
Mary Kathryn Horsley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 112 Three West Pkwy, Villa Rica, GA 30180 Phone: 770-459-6533 | |
Johanna Linnea Wagner, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 112 Three West Pkwy, Villa Rica, GA 30180 Phone: 770-459-6533 Fax: 770-462-1260 | |
Crucible Communication Therapy Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9765 Walnut Grove Trail, Villa Rica, GA 30180 Phone: 770-727-2732 | |
Lynne Long, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 285 Blackstock Rd, Villa Rica, GA 30180 Phone: 770-855-1388 | |
Sarah Kate Buice, M. ED. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2001 Church Ln, Villa Rica, GA 30180 Phone: 770-459-6533 | |
Brooke Cuff Burguillos, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1046 Monticello Dr, Villa Rica, GA 30180 Phone: 770-212-0750 |