| Thrive Online Speech Therapy, Llc | |
|
12305 Ne 102nd St, Vancouver, WA 98682-1990 | |
| (503) 475-2763 | |
| Not Available |
| Full Name | Thrive Online Speech Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 12305 Ne 102nd St, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811525140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Mongoli Yang Moua |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376074138 PECOS PAC ID: 3274955786 Enrollment ID: I20200629002719 |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Online Speech Therapy, Llc 12305 Ne 102nd St, Vancouver, WA 98682-1990 Ph: (503) 475-2763 | Thrive Online Speech Therapy, Llc 12305 Ne 102nd St, Vancouver, WA 98682-1990 Ph: (503) 475-2763 |
Mrs. Joyelle K Divall Rayan, MS CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7825 Ne 130th Ave, Vancouver, WA 98682 Phone: 360-604-3425 | |
Mrs. Renee A Crawford, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw 119th St # Stl, Vancouver, WA 98685 Phone: 360-313-1750 | |
Dawn Lalonde, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2301 Ne 157th St, Vancouver, WA 98686 Phone: 360-907-6357 | |
Kimberly Wilkerson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684 Phone: 360-696-1070 Fax: 360-737-0200 | |
Jenna Lynn Frink, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 Grand Blvd, Vancouver, WA 98661 Phone: 360-418-0419 | |
Tracy Lee Moser, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6511 Ne 18th St, Vancouver, WA 98661 Phone: 360-759-4917 Fax: 360-759-4921 | |
Mr. Francis Timothy Regan, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3212 E Evergreen Blvd, Vancouver, WA 98661 Phone: 360-313-1988 |