Mrs Tina Michell Van Horn, MS, CCC-SLP | |
510 S Elliott St, Pryor, OK 74361-6411 | |
(918) 640-6468 | |
Not Available |
Full Name | Mrs Tina Michell Van Horn |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 510 S Elliott St, Pryor, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982896379 | NPI | - | NPPES |
200028820 A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 3168 (Oklahoma) | Primary |
Provider Name | Mayes County Speech Therapy Services Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033248356 PECOS PAC ID: 6507187549 Enrollment ID: O20150603000760 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tina Michell Van Horn, MS, CCC-SLP 1503 N Navajo St, Chouteau, OK 74337-3770 Ph: (918) 640-6468 | Mrs Tina Michell Van Horn, MS, CCC-SLP 510 S Elliott St, Pryor, OK 74361-6411 Ph: (918) 640-6468 |
Mayes County Speech Therapy Services P.l.l.c. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 510 S Elliott St, Pryor, OK 74361 Phone: 918-825-4837 | |
Tristan Couch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S Elliott St Ste C, Pryor, OK 74361 Phone: 918-825-4837 | |
Carrington Hollingsworth, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S Elliott St Ste C, Pryor, OK 74361 Phone: 918-825-4837 Fax: 918-825-4644 | |
Raegen S Gibson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2790 Old Highway 20 E, Pryor, OK 74361 Phone: 918-864-1099 | |
Mrs. Mary Thompson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S Elliott St, Suite C, Pryor, OK 74361 Phone: 918-825-4837 | |
Miss Tressa Fern Rice, M.S. CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 Phone: 918-825-4837 | |
Mrs. Whitney Leann Jones, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S Elliott St, Ste C, Pryor, OK 74361 Phone: 918-825-4837 |