| Mayes County Speech Therapy Services P.l.l.c. | |
|
510 S Elliott St, Pryor, OK 74361-6411 | |
| (918) 825-4837 | |
| Not Available |
| Full Name | Mayes County Speech Therapy Services P.l.l.c. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 510 S Elliott St, Pryor, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033248356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3168 (Oklahoma) | Primary |
| Provider Name | Tina M Van Horn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982896379 PECOS PAC ID: 6103147145 Enrollment ID: I20150603000970 |
| Mailing Address | Practice Location Address |
|---|---|
| Mayes County Speech Therapy Services P.l.l.c. 510 S Elliott St, Pryor, OK 74361-6411 Ph: (918) 825-4837 | Mayes County Speech Therapy Services P.l.l.c. 510 S Elliott St, Pryor, OK 74361-6411 Ph: (918) 825-4837 |
Tristan Couch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S Elliott St Ste C, Pryor, OK 74361 Phone: 918-825-4837 | |
Carrington Hollingsworth, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S Elliott St Ste C, Pryor, OK 74361 Phone: 918-825-4837 Fax: 918-825-4644 | |
Raegen S Gibson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2790 Old Highway 20 E, Pryor, OK 74361 Phone: 918-864-1099 | |
Mrs. Mary Thompson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S Elliott St, Suite C, Pryor, OK 74361 Phone: 918-825-4837 | |
Miss Tressa Fern Rice, M.S. CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 Phone: 918-825-4837 | |
Mrs. Whitney Leann Jones, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S Elliott St, Ste C, Pryor, OK 74361 Phone: 918-825-4837 |