| Mission Hope Pediatric Therapy Llc | |
|
3925 Maynardville Hwy Ste 1, Maynardville, TN 37807-3552 | |
| (865) 585-1307 | |
| Not Available |
| Full Name | Mission Hope Pediatric Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 3925 Maynardville Hwy Ste 1, Maynardville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013553304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Brittany Mclain Buckner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265913461 PECOS PAC ID: 7012343387 Enrollment ID: I20200528002452 |
| Provider Name | Andrea B Gibson |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1740886514 PECOS PAC ID: 2769895945 Enrollment ID: I20210107000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Hope Pediatric Therapy Llc 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807-3552 Ph: () - | Mission Hope Pediatric Therapy Llc 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807-3552 Ph: (865) 585-1307 |
Brittany Mclain Buckner, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-745-9007 | |
Abigail Grace Norman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-333-4673 | |
Charity V Shipley, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-333-4673 Fax: 865-951-7281 | |
Anwyn Marie Eydt-beebe, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-333-4673 | |
Ms. Alesia Renee Spain, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 Richardson Way, Maynardville, TN 37807 Phone: 865-992-9394 | |
Olivia Jane Helton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy, Maynardville, TN 37807 Phone: 865-333-4673 |