| Mollie Virginia Jane Breckenridge, | |
|
230 Highway 5 N Ste 10, Mountain Home, AR 72653-3013 | |
| (870) 404-0270 | |
| Not Available |
| Full Name | Mollie Virginia Jane Breckenridge |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 230 Highway 5 N Ste 10, Mountain Home, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104697093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 202525 (Arkansas) | Primary |
| Provider Name | North Arkansas Speech Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649880774 PECOS PAC ID: 9133545759 Enrollment ID: O20200813001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Mollie Virginia Jane Breckenridge, 40 Crystal Creek Dr, Mountain Home, AR 72653-5303 Ph: (870) 706-0475 | Mollie Virginia Jane Breckenridge, 230 Highway 5 N Ste 10, Mountain Home, AR 72653-3013 Ph: (870) 404-0270 |
Jordan Philip Thrasher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3117 Partipilo St, Mountain Home, AR 72653 Phone: 501-206-4555 | |
Sarah Dewey, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1310 Bradley Dr, Mountain Home, AR 72653 Phone: 501-733-9845 | |
Bernadette Augustine Godwin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 County Road 458, Mountain Home, AR 72653 Phone: 870-425-5252 | |
Mrs. Sarah Ellen Blagg, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2203 Russell Ln, Mountain Home, AR 72653 Phone: 870-404-5870 Fax: 870-430-5934 | |
Rebecca M Bradley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 County Road 458, Mountain Home, AR 72653 Phone: 870-425-5252 | |
Riley Jean Gottschalk, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 347 Hwy 62 East, College Plaza, Mountain Home, AR 72653 Phone: 870-701-5089 |