Mrs Mollie Gentry, | |
1500 Wilson Loop Road, Ward, AR 72176 | |
(501) 941-5630 | |
Not Available |
Full Name | Mrs Mollie Gentry |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1500 Wilson Loop Road, Ward, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881740538 | NPI | - | NPPES |
5Y680 | Other | AR | BLUE CROSS & BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP2360 (Arkansas) | Primary |
Provider Name | Allied Therapy And Consulting Services, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134185937 PECOS PAC ID: 5597094920 Enrollment ID: O20190911000702 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mollie Gentry, Po Box 333, Ward, AR 72176-0333 Ph: (501) 912-1352 | Mrs Mollie Gentry, 1500 Wilson Loop Road, Ward, AR 72176 Ph: (501) 941-5630 |
Mary Beth Stivers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop Rd, Ward, AR 72176 Phone: 501-941-5630 | |
Bethany Shea Pearrow, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1570 Wilson Loop, Ward, AR 72176 Phone: 501-843-9601 Fax: 501-843-9744 | |
Amy Marie Imme, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1570 Wilson Loop, Ward, AR 72176 Phone: 501-843-9601 Fax: 501-843-9744 | |
Jamye Rankin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Kellie Rine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Mrs. Marty D. Hamric, MSE, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Siobhan Carpenter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop Rd, Ward, AR 72176 Phone: 501-941-5630 Fax: 501-843-2270 |