Upsurge Therapy Services, Llc | |
1603 Adirondac Way, Bonaire, GA 31005-5615 | |
(229) 630-4445 | |
Not Available |
Full Name | Upsurge Therapy Services, Llc |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 1603 Adirondac Way, Bonaire, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194439414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Stephanie Black |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1659707990 PECOS PAC ID: 9537507082 Enrollment ID: I20240403003371 |
Mailing Address | Practice Location Address |
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Upsurge Therapy Services, Llc 1603 Adirondac Way, Bonaire, GA 31005-5615 Ph: (229) 630-4445 | Upsurge Therapy Services, Llc 1603 Adirondac Way, Bonaire, GA 31005-5615 Ph: (229) 630-4445 |
Speak Easy Speech & Language Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Chilton Pl Ste B, Bonaire, GA 31005 Phone: 478-320-3717 | |
Ms. Debra Eunette Johnson, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 213 Crakston Ct, Bonaire, GA 31005 Phone: 478-997-1979 |