Jena Leigh Southerland, MS CCC-SLP | |
1271 Old Us 1 Hwy Unit B, Southern Pines, NC 28387-6308 | |
(910) 310-9479 | |
(910) 500-5173 |
Full Name | Jena Leigh Southerland |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1271 Old Us 1 Hwy Unit B, Southern Pines, 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 |
---|---|---|---|
1134603533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 12927 (North Carolina) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
Mailing Address | Practice Location Address |
---|---|
Jena Leigh Southerland, MS CCC-SLP 1271 Old Us 1 Hwy Unit B, Southern Pines, NC 28387-6308 Ph: (910) 310-9479 | Jena Leigh Southerland, MS CCC-SLP 1271 Old Us 1 Hwy Unit B, Southern Pines, NC 28387-6308 Ph: (910) 310-9479 |
Rachel Badgett Mills, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 E Rhode Island Ave, Southern Pines, NC 28387 Phone: 910-692-0386 | |
Lindsay Leigh Watkins, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 280 Pinehurst Ave Ste 6, Southern Pines, NC 28387 Phone: 910-246-0370 | |
Emily Y Sloan, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 103 Gossman Rd, Southern Pines, NC 28387 Phone: 910-692-7293 | |
Traci Globke, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Brucewood Rd, Southern Pines, NC 28387 Phone: 910-692-4928 | |
Julia Dyan Ruth King, M.A., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 103 Gossman Rd, Southern Pines, NC 28387 Phone: 910-692-7293 | |
Thomas Christensen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 E Rhode Island Ave, Southern Pines, NC 28387 Phone: 910-692-0371 |