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10579 Cedar Grove Rd Ste 120, Smyrna, TN 37167-8385 | |
| (615) 500-6554 | |
| (615) 469-4321 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 10579 Cedar Grove Rd Ste 120, Smyrna, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841849932 | NPI | - | NPPES |
| Q032833 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Linda Le Pham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033774526 PECOS PAC ID: 0648601062 Enrollment ID: I20200519000100 |
| Provider Name | Jaclyn Craddock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992272959 PECOS PAC ID: 2365866043 Enrollment ID: I20200728002647 |
| Provider Name | Kelly Ann Escandon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124542121 PECOS PAC ID: 1456782093 Enrollment ID: I20200821000194 |
| Mailing Address | Practice Location Address |
|---|---|
3762 Rockdale Fellowship Rd, Mt Juliet, TN 37122-7733 Ph: (615) 500-6554 | 10579 Cedar Grove Rd Ste 120, Smyrna, TN 37167-8385 Ph: (615) 500-6554 |
Brenda S Hodge, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1173 Rock Springs Rd, Smyrna, TN 37167 Phone: 615-220-5796 | |
Julia Koonce, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10579 Cedar Grove Rd Ste 120, Smyrna, TN 37167 Phone: 931-808-4538 | |
Mrs. Trisha Krauth Harris, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 703 Draperstown Dr, Smyrna, TN 37167 Phone: 615-355-9898 Fax: 615-220-1791 | |
Mrs. Tracie C Moss, MS CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 Stonecrest Blvd, Ste 375, Smyrna, TN 37167 Phone: 615-220-5796 Fax: 615-220-8829 | |
Robin York, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 Oak Valley Cir, Smyrna, TN 37167 Phone: 615-517-7348 | |
Mrs. Karen Taylor, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Wolverine Trl Ste 201, Smyrna, TN 37167 Phone: 615-220-5796 | |
Emily Renee Burns, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1173 Rock Springs Rd Ste 105, Smyrna, TN 37167 Phone: 615-220-5796 |