Speech-language Pathology Contractors, Inc. | |
1507 Alice St, Waycross, GA 31501-4530 | |
(912) 283-0777 | |
(912) 283-7757 |
Full Name | Speech-language Pathology Contractors, Inc. |
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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 |
---|---|---|---|
1386871887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 005005 (Georgia) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Allison Herrin |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1518928043 PECOS PAC ID: 0648325571 Enrollment ID: I20090828000402 |
Mailing Address | Practice Location Address |
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Speech-language Pathology Contractors, Inc. 1415 Alice Street, Waycross, GA 31501-4528 Ph: (912) 283-0777 | Speech-language Pathology Contractors, Inc. 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 |