Mrs Tara Renee Johnson, MS, CCC/SLP | |
1995 E Cornelius Harnett Blvd, Lillington, NC 27546-8276 | |
(919) 800-7445 | |
(919) 814-0890 |
Full Name | Mrs Tara Renee Johnson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1995 E Cornelius Harnett Blvd, Lillington, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770758286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7970 (North Carolina) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tara Renee Johnson, MS, CCC/SLP 1995 E Cornelius Harnett Blvd, Lillington, NC 27546-8276 Ph: () - | Mrs Tara Renee Johnson, MS, CCC/SLP 1995 E Cornelius Harnett Blvd, Lillington, NC 27546-8276 Ph: (919) 800-7445 |
Kaylee Nicole Taylor, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 W Front St, Lillington, NC 27546 Phone: 919-902-6995 | |
Serena Rene Rector, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 317 Braddock Dr, Dumc Box 3887, Lillington, NC 27546 Phone: 910-703-9169 | |
Ms. Faith Broder, MA,CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Pine State St, Lillington, NC 27546 Phone: 910-814-1560 Fax: 910-892-0029 | |
Mrs. Velvie Michelle Harris, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 54 Red Mulberry Way, Lillington, NC 27546 Phone: 910-814-8030 | |
Sylvia Noles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2041 Nc 210 N, Lillington, NC 27546 Phone: 910-444-0397 | |
Mrs. Haley Gower Vradenburgh, CCC- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 907 S Main St, Lillington, NC 27546 Phone: 910-814-1560 |