Terral Latady, | |
1403 Lake Ave, Pascagoula, MS 39567-1626 | |
(228) 219-4793 | |
Not Available |
Full Name | Terral Latady |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1403 Lake Ave, Pascagoula, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174047302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 14229602 (Mississippi) | Primary |
Provider Name | Speakeasy Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649933250 PECOS PAC ID: 5092105858 Enrollment ID: O20211209001799 |
Mailing Address | Practice Location Address |
---|---|
Terral Latady, 1403 Lake Ave, Pascagoula, MS 39567-1626 Ph: (228) 219-4793 | Terral Latady, 1403 Lake Ave, Pascagoula, MS 39567-1626 Ph: (228) 219-4793 |
Lakendra Brewer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4403 Hospital St, Pascagoula, MS 39581 Phone: 228-762-8960 Fax: 228-769-1810 | |
Pamela Loper, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4403 Hospital St, Pascagoula, MS 39581 Phone: 228-162-8960 Fax: 662-620-9890 | |
Shelby Alexis Parker, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Sandi Horn, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3452 Pascagoula St, Pascagoula, MS 39567 Phone: 228-696-7088 | |
Sharay T North, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3452 Pascagoula St Ste 2, Pascagoula, MS 39567 Phone: 228-249-9449 | |
Rebecca Hedegaard, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4211 Hospital St Ste 114, Pascagoula, MS 39581 Phone: 228-762-8960 Fax: 228-769-1810 |