Maureen O'doherty Di Vincenzo, MS CCC-SLP | |
428 Wellington Rd, Coppell, TX 75019-6705 | |
(541) 771-0163 | |
Not Available |
Full Name | Maureen O'doherty Di Vincenzo |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 428 Wellington Rd, Coppell, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134621220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 2202009125 (Virginia) | Primary |
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20180906000725 |
Mailing Address | Practice Location Address |
---|---|
Maureen O'doherty Di Vincenzo, MS CCC-SLP 820 S Macarthur Blvd Ste 105-149, Coppell, TX 75019-4216 Ph: (703) 718-6603 | Maureen O'doherty Di Vincenzo, MS CCC-SLP 428 Wellington Rd, Coppell, TX 75019-6705 Ph: (541) 771-0163 |
Ms. Kathy Anne Collins, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 268 Southwestern Blvd, Coppell, TX 75019 Phone: 214-496-6000 | |
Caroline Stanford Smith, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 268 Southwestern Blvd, Coppell, TX 75019 Phone: 214-294-7044 | |
Aamina Bellah Rekik, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 N Moore Rd, Coppell, TX 75019 Phone: 469-720-3485 | |
Emily Mcbee Schroer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 268 Southwestern Blvd, Coppell, TX 75019 Phone: 214-496-6000 | |
Mrs. Nicole Brin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 716 Woodmoor Dr, Coppell, TX 75019 Phone: 817-501-6146 | |
Julie Kiser, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 165 Hwy 121, Suite 100, Coppell, TX 75019 Phone: 817-479-7019 |