| Su Jin Lee, MS, CCC-SLP | |
|
298 Clear Sky Ct Ste G, Clarksville, TN 37043-5685 | |
| (931) 542-2739 | |
| Not Available |
| Full Name | Su Jin Lee |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 298 Clear Sky Ct Ste G, Clarksville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730528373 | NPI | - | NPPES |
| 201086967 | Other | USCIS NUMBER |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518 |
| Mailing Address | Practice Location Address |
|---|---|
| Su Jin Lee, MS, CCC-SLP 550 New South Dr Apt 1207, Clarksville, TN 37043-8429 Ph: (813) 435-8328 | Su Jin Lee, MS, CCC-SLP 298 Clear Sky Ct Ste G, Clarksville, TN 37043-5685 Ph: (931) 542-2739 |
Mrs. Amber Powell, M.A. SLP-CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1621 Autumn Dr, Clarksville, TN 37042 Phone: 931-980-9877 | |
Megan Leigh Mcgrath Durling, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 461 Pond Apple Rd, Clarksville, TN 37043 Phone: 931-920-4333 Fax: 931-920-4346 | |
Susan Johnson Lingg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 851 Professional Park Dr, Clarksville, TN 37040 Phone: 931-542-2168 Fax: 931-542-2206 | |
Holly Marie Niles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 161 Hatcher Ln, Clarksville, TN 37043 Phone: 931-542-2168 Fax: 931-542-2206 | |
Ashley Elizabeth Rust, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 161 Hatcher Ln, Clarksville, TN 37043 Phone: 931-542-2168 | |
Michael Bush, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 621 Gracey Ave, Clarksville, TN 37040 Phone: 423-622-1551 Fax: 877-856-7133 | |
Rachel Smith, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 621 Gracey Ave, Clarksville, TN 37040 Phone: 423-622-1551 Fax: 877-856-7133 |