| Lydia Phillips, | |
|
5201 Shreveport Hwy, Pineville, LA 71360-3527 | |
| (318) 640-3014 | |
| Not Available |
| Full Name | Lydia Phillips |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 5201 Shreveport Hwy, Pineville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780438580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7511 (Louisiana) | Primary |
| Provider Name | Synergy Care Southeast, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Phillips, 315 Sanson Rd, Pineville, LA 71360-3600 Ph: (903) 472-1174 | Lydia Phillips, 5201 Shreveport Hwy, Pineville, LA 71360-3527 Ph: (318) 640-3014 |
Amanda Lacroix, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8717 Ridgemont Dr, Pineville, LA 71360 Phone: 318-419-1520 | |
Mrs. Glynda T. Richard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 208 Sweetwater Rim, Pineville, LA 71360 Phone: 888-735-9403 | |
Mrs. Pamela R Bankston, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 208 Sweetwater Rim, Pineville, LA 71360 Phone: 318-419-8176 | |
Erin Bordelon Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 818 Main St Ste C, Pineville, LA 71360 Phone: 318-446-0601 | |
Carol Martin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Pinecrest Dr, Pineville, LA 71360 Phone: 318-641-2000 Fax: 318-641-2309 | |
Andrea Marie Vanburen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 818 Main St Ste C, Pineville, LA 71360 Phone: 318-691-0898 | |
Laura L Odom, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy # 71, Pineville, LA 71360 Phone: 318-473-0010 Fax: 318-483-5117 |