| Kaylee A Petro, MS, CCC-SLP | |
|
334 Melrose Cir, Woodstock, GA 30188-6905 | |
| (714) 287-8917 | |
| Not Available |
| Full Name | Kaylee A Petro |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 334 Melrose Cir, Woodstock, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659870558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 37387 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | 013183 (Georgia) | Primary |
| Provider Name | Central Coast Language And Learning Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356589022 PECOS PAC ID: 4183910284 Enrollment ID: O20160915000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaylee A Petro, MS, CCC-SLP 334 Melrose Cir, Woodstock, GA 30188-6905 Ph: (714) 287-8917 | Kaylee A Petro, MS, CCC-SLP 334 Melrose Cir, Woodstock, GA 30188-6905 Ph: (714) 287-8917 |
Ogechi-ada Ebbis, MS, CCC- Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6478 Putnam Ford Dr, Suite 116, Woodstock, GA 30189 Phone: 678-494-8045 Fax: 678-494-8047 | |
Comprehensive Communication And Swallowing Services Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1714 Dudley Dr, Woodstock, GA 30188 Phone: 833-575-2277 | |
Thomas Speech-language Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1737 Grand Oaks Dr, Woodstock, GA 30188 Phone: 404-402-2457 | |
Elizabeth Draggoo, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2001 Professional Pkwy, Woodstock, GA 30188 Phone: 844-543-8437 | |
Allison Goode, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 112 Mirramont Lake Dr, Woodstock, GA 30189 Phone: 404-509-7686 | |
Shannon D Bragg Ma Ccc-slp Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1551 Pine Creek Way, Woodstock, GA 30188 Phone: 770-871-6338 | |
Stephanie Lee Reeves, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 424 Creekstone Rdg, Woodstock, GA 30188 Phone: 678-462-1342 Fax: 678-493-9464 |