Thomas Speech Therapy Services Pllc | |
20 Medical Campus Dr, Suite 204, Supply, NC 28462-4096 | |
(910) 612-1002 | |
(910) 755-5865 |
Full Name | Thomas Speech Therapy Services Pllc |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 20 Medical Campus Dr, Supply, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871860544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 6026 (North Carolina) | Primary |
Provider Name | Jessica Thomas |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1073801098 PECOS PAC ID: 4082881537 Enrollment ID: I20120124000477 |
Provider Name | Ashley M Surigao |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1891142790 PECOS PAC ID: 3274827118 Enrollment ID: I20160816000210 |
Provider Name | Laura Ann Mcdaniel O'connell |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1740839695 PECOS PAC ID: 1456775287 Enrollment ID: I20240531000323 |
Mailing Address | Practice Location Address |
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Thomas Speech Therapy Services Pllc 1176 Woodbridge Ln Se, Bolivia, NC 28422-8969 Ph: (910) 612-1002 | Thomas Speech Therapy Services Pllc 20 Medical Campus Dr, Suite 204, Supply, NC 28462-4096 Ph: (910) 612-1002 |
Kendall Rice, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Campus Dr Nw Ste 204, Supply, NC 28462 Phone: 910-612-1002 |