Miss Carla M Wiksell, MA CCC-SLP | |
600 N. Holtzclaw - Suite 200, Chattanooga, TN 37404-1240 | |
(423) 622-6900 | |
(423) 622-4834 |
Full Name | Miss Carla M Wiksell |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 600 N. Holtzclaw - Suite 200, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093738569 | NPI | - | NPPES |
4640001 | Other | TN | UNITEDHEALTHCARE ID# |
3060846 | Other | TN | BCBST ID # |
3060846 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP0000001023 (Tennessee) | Primary |
235Z00000X | Speech-language Pathologist | SLP003415 (Georgia) | Secondary |
Provider Name | The Speech And Hearing Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386667822 PECOS PAC ID: 3375631005 Enrollment ID: O20071114000228 |
Mailing Address | Practice Location Address |
---|---|
Miss Carla M Wiksell, MA CCC-SLP 600 N. Holtzclaw - Suite 200, Chattanooga, TN 37404-1240 Ph: (423) 622-6900 | Miss Carla M Wiksell, MA CCC-SLP 600 N. Holtzclaw - Suite 200, Chattanooga, TN 37404-1240 Ph: (423) 622-6900 |
Tracy Sparks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6172 Airways Blvd, Suite 122, Chattanooga, TN 37421 Phone: 423-622-1551 Fax: 877-856-7133 | |
Holley Cox, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3074 Hickory Valley Rd, Chattanooga, TN 37421 Phone: 423-622-1551 | |
Carolyn St. John, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3207 Rosemont Dr, Chattanooga, TN 37411 Phone: 423-622-1551 Fax: 423-622-1556 | |
Joan Carol Clark, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3207 Rosemont Dr, Chattanooga, TN 37411 Phone: 423-622-1551 Fax: 423-622-1556 | |
Bonnie Shirk, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3074 Hickory Valley Rd, Chattanooga, TN 37421 Phone: 423-622-1551 | |
Megan Smith, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3074 Hickory Valley Rd, Chattanooga, TN 37421 Phone: 423-622-1551 | |
Talk The Talk Speech Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 804 Dallas Rd, Chattanooga, TN 37405 Phone: 870-919-3304 |