Ms Carol Annette Southard, MS CCC/SLP | |
1841 Old Clear Springs Rd, Russell Springs, KY 42642-7962 | |
(606) 305-1355 | |
Not Available |
Full Name | Ms Carol Annette Southard |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1841 Old Clear Springs Rd, Russell Springs, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174782544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1381 (Kentucky) | Secondary |
235Z00000X | Speech-language Pathologist | 140856 (Kentucky) | Primary |
Provider Name | Brighter Futures Therapy Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598186868 PECOS PAC ID: 2668742107 Enrollment ID: O20170717002037 |
Mailing Address | Practice Location Address |
---|---|
Ms Carol Annette Southard, MS CCC/SLP 1841 Old Clear Springs Rd, Russell Springs, KY 42642-7962 Ph: (606) 305-1355 | Ms Carol Annette Southard, MS CCC/SLP 1841 Old Clear Springs Rd, Russell Springs, KY 42642-7962 Ph: (606) 305-1355 |
Sara Redmon Poynter, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 250 S Highway 76, Russell Springs, KY 42642 Phone: 270-585-2455 | |
Lacey Pritchard, M.S, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 762 John Streat Rd, Russell Springs, KY 42642 Phone: 270-566-3323 Fax: 270-343-6059 | |
Shaina Renee Eubank, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 232 Lakewood Dr, Russell Springs, KY 42642 Phone: 270-566-1158 |