Kylie Lyn Servello, MS, SLP | |
400 Webber Rd, Spartanburg, SC 29307-2400 | |
(864) 579-7004 | |
Not Available |
Full Name | Kylie Lyn Servello |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 400 Webber Rd, Spartanburg, 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 |
---|---|---|---|
1679055297 | NPI | - | NPPES |
146.014705 | Other | IL | STATE OF ILLINOIS PROFESSIONAL LICENSE |
7281 | Other | SC | SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING, AND REGULATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 146.014705 (Illinois) | Primary |
Provider Name | Comprehensive Therapeutics Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437765583 PECOS PAC ID: 8921230137 Enrollment ID: O20201117000113 |
Mailing Address | Practice Location Address |
---|---|
Kylie Lyn Servello, MS, SLP 536 Old Howell Rd, Greenville, SC 29615-1969 Ph: (864) 244-3626 | Kylie Lyn Servello, MS, SLP 400 Webber Rd, Spartanburg, SC 29307-2400 Ph: (864) 579-7004 |
Julie A Summers, M.S. CCC-SLP/L Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 104 Dillon Dr, Spartanburg, SC 29307 Phone: 864-948-9300 | |
Amaya Gunasekera, MCD, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Winchester Pl Ste 102a, Spartanburg, SC 29301 Phone: 864-576-7188 | |
Jima Schaen Sparks, MCD CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1705 Skylyn Dr, Spartanburg, SC 29307 Phone: 964-582-6838 Fax: 864-585-9014 | |
Kimberly Singleton, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2438 Scott St, Spartanburg, SC 29302 Phone: 864-285-0994 | |
Mrs. Charlise Yvette Anderson, M.C.D, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 916 Beverly Dr, Spartanburg, SC 29303 Phone: 864-573-9650 | |
Brooke Charping, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 355 Oak Grove Rd, Spartanburg, SC 29301 Phone: 864-595-4225 | |
Victoria Leffelman, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 355 Cedar Springs Rd, Spartanburg, SC 29302 Phone: 864-585-7711 |