| Julia Costello, | |
|
1698 Highway 160 W Ste 240, Fort Mill, SC 29708-8035 | |
| (704) 654-8599 | |
| Not Available |
| Full Name | Julia Costello |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1698 Highway 160 W Ste 240, Fort Mill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700245396 | NPI | - | NPPES |
| SA1639 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Carolina Concierge Therapeutics, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033505938 PECOS PAC ID: 7012218035 Enrollment ID: O20151216002813 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Costello, 1698 Highway 160 W Ste 240, Fort Mill, SC 29708-8035 Ph: (704) 654-8599 | Julia Costello, 1698 Highway 160 W Ste 240, Fort Mill, SC 29708-8035 Ph: (704) 654-8599 |
Terri Hennessey, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1599 Farm House Dr, Fort Mill, SC 29715 Phone: 803-835-0176 Fax: 803-835-0151 | |
Mrs. Teresa Ann Rimmer, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2233 Deerfield Dr, Fort Mill, SC 29715 Phone: 803-548-2527 | |
Ms. Lindsey Noelle Scrogin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1988 Haire Rd Ste 101, Fort Mill, SC 29715 Phone: 803-322-7491 | |
Melissa Maxwell, MS.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1503 Josie Ln Apt 405, Fort Mill, SC 29708 Phone: 978-685-6321 | |
Jamilia Bush, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1698 Highway 160 W Ste 240, Fort Mill, SC 29708 Phone: 704-654-8599 | |
Shannon Weynand, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 870 Gold Hill Rd Ste 104, Fort Mill, SC 29708 Phone: 803-620-8250 Fax: 803-638-6901 | |
Mrs. Sarah Komornik Smith, MSP CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2222 Sunset Cir, Fort Mill, SC 29715 Phone: 803-622-7939 Fax: 803-548-6200 |