| Lesli Bacon Mccully, | |
|
610 S Avalon St, West Memphis, AR 72301-4109 | |
| (870) 400-3481 | |
| Not Available |
| Full Name | Lesli Bacon Mccully |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 610 S Avalon St, West Memphis, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982808945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP8000 (Arkansas) | Primary |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619939766 PECOS PAC ID: 9537076401 Enrollment ID: O20160912002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesli Bacon Mccully, 1696 Carruthers Pl, Memphis, TN 38112-5208 Ph: (901) 604-7611 | Lesli Bacon Mccully, 610 S Avalon St, West Memphis, AR 72301-4109 Ph: (870) 400-3481 |
Krystal Burnett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 413 W Tyler Ave, West Memphis, AR 72301 Phone: 870-733-1200 | |
Jessica Conn, M.S.,CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 620 Thompson Ave, West Memphis, AR 72301 Phone: 870-702-4911 | |
Kathryn Martin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 610 S Avalon St, West Memphis, AR 72301 Phone: 870-735-4543 Fax: 870-732-4490 | |
Mary M Kent, MED, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 908 Vanderbilt Ave, West Memphis, AR 72301 Phone: 870-732-8562 Fax: 870-732-8562 | |
Taylor Hotz Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 413 W Tyler Ave, West Memphis, AR 72301 Phone: 870-733-1200 | |
Mrs. Abigail Lou Carlson, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 610 N Missouri St, Suite 1, West Memphis, AR 72301 Phone: 870-400-0179 Fax: 870-400-0479 | |
Jennifer Porter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 413 W Tyler Ave, West Memphis, AR 72301 Phone: 870-735-2737 Fax: 870-735-3724 |