Starlita Mckinzie, CCC-SLP | |
200 Country Brook Dr, Keller, TX 76248-2125 | |
(817) 562-3100 | |
Not Available |
Full Name | Starlita Mckinzie |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 200 Country Brook Dr, Keller, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780332593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 103202 (Texas) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032 |
Mailing Address | Practice Location Address |
---|---|
Starlita Mckinzie, CCC-SLP 5209 Grand Mesa Dr, Fort Worth, TX 76137-3524 Ph: (785) 766-5432 | Starlita Mckinzie, CCC-SLP 200 Country Brook Dr, Keller, TX 76248-2125 Ph: (817) 562-3100 |
Cynthia Castle Weathers, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 350 Keller Pkwy, Keller, TX 76248 Phone: 817-744-2328 | |
Brittany M Cartwright, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 350 Keller Pkwy, Keller, TX 76248 Phone: 817-744-1000 | |
Terrie Power, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 350 Keller Pkwy, Keller, TX 76248 Phone: 817-744-1000 | |
Mrs. Stephanie Renee Hansen, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 350 Keller Pkwy, Keller, TX 76248 Phone: 817-744-1000 | |
Melissa Dailey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 630 Stoneglen Dr Ste B, Keller, TX 76248 Phone: 817-734-6515 | |
Shandy Renee Smith, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Pkwy Ste 100, Keller, TX 76248 Phone: 817-562-3111 | |
Melanie Mango De Chateauvieux, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 350 Keller Pkwy, Keller, TX 76248 Phone: 817-744-1000 |