Mr Christopher M Whidden, | |
107 Longwood Ave Fl 32955, Rockledge, FL 32955-2827 | |
(321) 338-2419 | |
Not Available |
Full Name | Mr Christopher M Whidden |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 107 Longwood Ave Fl 32955, Rockledge, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174308860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SZ11571 (Florida) | Primary |
Provider Name | Speech Avenues Therapy Co |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316456452 PECOS PAC ID: 1759611957 Enrollment ID: O20191002000859 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher M Whidden, 3505 W Roundtree Dr, Cocoa, FL 32926-8727 Ph: (321) 431-6281 | Mr Christopher M Whidden, 107 Longwood Ave Fl 32955, Rockledge, FL 32955-2827 Ph: (321) 338-2419 |
Sarah Currier, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7145 Turner Rd, Suite 101, Rockledge, FL 32955 Phone: 321-622-8792 | |
Kathleen Margaret Babineau, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1950 Us Highway 1 Ste 201b, Rockledge, FL 32955 Phone: 321-291-4498 | |
Mackenzie Brooke Yancey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6520 3rd St, Rockledge, FL 32955 Phone: 321-622-8792 | |
Amy B Egan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1024 Florida Ave S, Suite A, Rockledge, FL 32955 Phone: 321-634-3688 Fax: 321-504-0955 | |
Mrs. Jennifer Lynn Bowman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7145 Turner Rd, Suite 101, Rockledge, FL 32955 Phone: 321-271-6594 | |
Ms. Kaitlyn Shea Mellick, CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 107 Longwood Ave, Rockledge, FL 32955 Phone: 321-338-2419 Fax: 321-301-4278 | |
Dolores Thomas, M.A. CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 882 Kings Post Rd, Rockledge, FL 32955 Phone: 321-632-4491 |