| Kidspeech, Inc. | |
|
545 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046-3389 | |
| (678) 377-2833 | |
| (678) 377-2882 |
| Full Name | Kidspeech, Inc. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 545 Old Norcross Rd, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972728889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 931800 (Georgia) | Primary |
| Provider Name | Rachel Hannon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700950821 PECOS PAC ID: 9234394271 Enrollment ID: I20120626000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeech, Inc. 545 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046-3390 Ph: (678) 377-2833 | Kidspeech, Inc. 545 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046-3389 Ph: (678) 377-2833 |
Ms. Donna Marie Pharis, ED.S,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Carrie Latham, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Rita Michelle Moynihan-greenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 407-310-7378 | |
Katherine Bonas, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Syeda Ahmed, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Lawrenceville, GA 30046 Phone: 678-377-2833 | |
Melinda Kelly, M.ED.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 318 W Pike St, Suite 104, Lawrenceville, GA 30045 Phone: 678-377-2833 Fax: 678-377-2882 | |
Morgan Brianna Serwat, M.ED. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 545 Old Norcross Rd, Lawrenceville, GA 30046 Phone: 630-441-6102 |