| Pediaplex Management Company Llc | |
|
2425 E Southlake Blvd, Southlake, TX 76092-6942 | |
| (817) 442-0222 | |
| (817) 442-0223 |
| Full Name | Pediaplex Management Company Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2425 E Southlake Blvd, Southlake, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821374687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pediaplex Management Company Llc 2425 E Southlake Blvd Ste 100, Southlake, TX 76092-6675 Ph: (817) 442-0222 | Pediaplex Management Company Llc 2425 E Southlake Blvd, Southlake, TX 76092-6942 Ph: (817) 442-0222 |
Cathleen Shannon Hamby, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Watermere Dr, Southlake, TX 76092 Phone: 817-524-0872 | |
Tatum Makenzie Hubbard, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2425 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-0222 Fax: 817-442-0223 | |
Mrs. Evin Leann Fahey, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Watermere Dr, Southlake, TX 76092 Phone: 817-431-8668 Fax: 817-337-7622 | |
Lara Gabrielle Ely, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 N Carroll Ave, Southlake, TX 76092 Phone: 817-949-8400 | |
Calye Anderson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 Watermere Dr, Southlake, TX 76092 Phone: 817-480-8085 | |
Monica Kaye Ortlieb Smothers, M.A., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 101 Watermere Dr, Southlake, TX 76092 Phone: 817-431-8668 Fax: 817-337-7622 | |
Grace Suzanne Gerbing, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1140 N Kimball Ave, Southlake, TX 76092 Phone: 817-479-7019 |