Mr Matthew Johnson, MA CCC-SLP | |
170 Pinecrest Dr, Gallipolis, OH 45631-1347 | |
(740) 446-7112 | |
(740) 441-9088 |
Full Name | Mr Matthew Johnson |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 170 Pinecrest Dr, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861866329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP.11359 (Ohio) | Primary |
Provider Name | Fox Rehabilitation Services Oh, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265968481 PECOS PAC ID: 1254698350 Enrollment ID: O20171128001417 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Johnson, MA CCC-SLP 170 Pinecrest Dr, Gallipolis, OH 45631-1347 Ph: (740) 446-7112 | Mr Matthew Johnson, MA CCC-SLP 170 Pinecrest Dr, Gallipolis, OH 45631-1347 Ph: (740) 446-7112 |
Lindsey Northup, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 346 Spruce Street Ext, Gallipolis, OH 45631 Phone: 740-645-1799 | |
Megan Foster, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 170 Pinecrest Dr, Gallipolis, OH 45631 Phone: 740-446-7112 | |
Mrs. Kristi Lee Fleming-frum, MC, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 170 Pinecrest Dr, Gallipolis, OH 45631 Phone: 740-446-7112 Fax: 740-446-9088 | |
Mrs. Amy Dawn Frazie, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 170 Pinecrest Dr, Gallipolis, OH 45631 Phone: 740-446-7112 Fax: 740-446-9088 | |
Janelle Neekamp, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 61 State, Gallipolis, OH 45631 Phone: 740-446-3211 | |
Samantha Vanscoy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 170 Pinecrest Dr, Gallipolis, OH 45631 Phone: 740-446-7112 | |
Mrs. Cheryl Lynn Northup, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave, Gallipolis, OH 45631 Phone: 740-446-3213 |