| Speech Clinic Llc | |
|
1507 Alice St, Waycross, GA 31501-4530 | |
| (912) 283-0777 | |
| (912) 283-7757 |
| Full Name | Speech Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1507 Alice St, Waycross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952417909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP005005 (Georgia) | Primary |
| Provider Name | Kaylee D Musselwhite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558898692 PECOS PAC ID: 5092085480 Enrollment ID: I20170718000782 |
| Provider Name | Sabrina Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316569304 PECOS PAC ID: 5496178113 Enrollment ID: I20200713003781 |
| Provider Name | Emily A Bennett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629692686 PECOS PAC ID: 9537561089 Enrollment ID: I20210707001674 |
| Provider Name | Kristen T Hinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669060513 PECOS PAC ID: 5991197766 Enrollment ID: I20220128000986 |
| Provider Name | Stephanie G Harwood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255030896 PECOS PAC ID: 3779948526 Enrollment ID: I20230429000166 |
| Provider Name | Beth Ann G Mcsweeney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619957800 PECOS PAC ID: 8527422427 Enrollment ID: I20230911003815 |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Clinic Llc 1415 Alice St, Waycross, GA 31501-4528 Ph: (912) 283-0777 | Speech Clinic Llc 1507 Alice St, Waycross, GA 31501-4530 Ph: (912) 283-0777 |
Ansley Stroud Sellers, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 303 Pineview Dr, Waycross, GA 31501 Phone: 912-283-0777 Fax: 912-283-7757 | |
Michelle Mitchell, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 Pineview Dr, Waycross, GA 31501 Phone: 912-283-0777 Fax: 912-283-7757 | |
Heather Marie Simmons, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 Pineview Dr, Waycross, GA 31501 Phone: 912-283-0777 | |
Ms. Daphne Ann Tillman-jones, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2927 Blue Jay Trl, Waycross, GA 31501 Phone: 912-288-3574 | |
Amber Johnson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1415 Alice St, Waycross, GA 31501 Phone: 912-283-0777 Fax: 912-283-7757 | |
Emily Ray, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 Boulevard Sq Ste F, Waycross, GA 31501 Phone: 912-342-8875 Fax: 912-342-8016 | |
Shannon Wright, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 Pineview Dr, Waycross, GA 31501 Phone: 912-283-0777 Fax: 912-283-7757 |