Laura Ann Mcdaniel O'connell, SLP | |
4330 Southport Supply Rd Se Ste 201, Southport, NC 28461-9273 | |
(910) 612-1002 | |
(910) 755-5865 |
Full Name | Laura Ann Mcdaniel O'connell |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4330 Southport Supply Rd Se Ste 201, Southport, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740839695 | NPI | - | NPPES |
14966 | Other | NC | NC BOARD OF SLPS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 14966 (North Carolina) | Primary |
Provider Name | Thomas Speech Therapy Services Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871860544 PECOS PAC ID: 4183891633 Enrollment ID: O20120124000465 |
Mailing Address | Practice Location Address |
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Laura Ann Mcdaniel O'connell, SLP 1746 E Coronado Ave Se, Bolivia, NC 28422-0900 Ph: (336) 404-4802 | Laura Ann Mcdaniel O'connell, SLP 4330 Southport Supply Rd Se Ste 201, Southport, NC 28461-9273 Ph: (910) 612-1002 |
Mrs. Juanita A Adams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 630 N Fodale Ave, Southport, NC 28461 Phone: 910-457-9581 | |
Kymber Broadhead, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4330 Southport Supply Rd Se Ste 201, Southport, NC 28461 Phone: 910-612-1002 | |
Lauren Davis Brady, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 630 N Fodale Ave, Southport, NC 28461 Phone: 910-457-9581 | |
Lisa Carroll Osborne, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1271 Beaufort Rd, Southport, NC 28461 Phone: 910-470-9665 | |
Jo Revelle Murray Isenhour, MED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4979 Southport Supply Rd Se, Southport, NC 28461 Phone: 910-612-1002 Fax: 910-755-5865 |