| Mrs Jennifer Md Hethcock, MS, CCC-SLP | |
|
1853 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | |
| (757) 421-1180 | |
| Not Available |
| Full Name | Mrs Jennifer Md Hethcock |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1853 Old Donation Pkwy, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730102294 | NPI | - | NPPES |
| 1231877 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202004790 (Virginia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Md Hethcock, MS, CCC-SLP 6352 Dartmouth Way, Virginia Beach, VA 23464-4608 Ph: (757) 803-5327 | Mrs Jennifer Md Hethcock, MS, CCC-SLP 1853 Old Donation Pkwy, Virginia Beach, VA 23454-3004 Ph: (757) 421-1180 |
Erin Ngov, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, Virginia Beach, VA 23452 Phone: 757-490-3223 Fax: 757-490-3867 | |
North Star Speech And Language Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4301 Foreman Trl, Virginia Beach, VA 23456 Phone: 757-447-3463 Fax: 757-447-3462 | |
Jillian Blaine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1413 Laskin Rd, Virginia Beach, VA 23451 Phone: 757-263-2800 | |
Tiffany M Rhodes, M.S. ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd Ste 310, Virginia Beach, VA 23452 Phone: 757-490-3223 | |
Lauren Schloss, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1604 Old Donation Pkwy, Virginia Beach, VA 23454 Phone: 757-937-7600 | |
Natalie Trem, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, Virginia Beach, VA 23452 Phone: 757-490-3223 | |
Melanie Larrimore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, Virginia Beach, VA 23452 Phone: 757-490-3223 |