| Leslie Suzanne Detota, CCC-SLP | |
|
200 S Kimberly Rd, Warner Robins, GA 31088-8721 | |
| (478) 293-4900 | |
| Not Available |
| Full Name | Leslie Suzanne Detota |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 200 S Kimberly Rd, Warner Robins, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194583666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP003705 (Georgia) | Primary |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20171207000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Suzanne Detota, CCC-SLP 117 Steeplechase Run, Warner Robins, GA 31088-2627 Ph: (478) 957-9003 | Leslie Suzanne Detota, CCC-SLP 200 S Kimberly Rd, Warner Robins, GA 31088-8721 Ph: (478) 293-4900 |
Mrs. Genesis Brown, M.ED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 105 Bryson Way, Warner Robins, GA 31088 Phone: 404-226-2888 | |
Ms. Jacqueline D Davis, M.ED. CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 134 Woodcrest Cir, Warner Robins, GA 31093 Phone: 478-929-0513 Fax: 478-929-0513 | |
Tara Britt, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Eagles Landing Trl, Warner Robins, GA 31093 Phone: 478-973-6513 | |
Talk With Me Speech Therapy/habla Conmigo Terapia Del Habla, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6080 Lakeview Rd Apt 1907, Warner Robins, GA 31088 Phone: 910-818-3726 Fax: 478-245-9082 | |
Bailey Overcash, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1291 S Houston Lake Rd Ste G, Warner Robins, GA 31088 Phone: 478-333-2999 Fax: 478-900-1100 | |
Whitney Acree, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1291 S Houston Lake Rd Ste G, Warner Robins, GA 31088 Phone: 478-333-2999 Fax: 478-900-1100 | |
Lacy Boutwell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 524 S Houston Lake Rd Ste B300, Warner Robins, GA 31088 Phone: 678-910-3940 Fax: 404-464-0819 |