| West Orange Speech Pathologist, Inc. | |
|
6388 Silver Star Rd Ste 2e, Orlando, FL 32818-3235 | |
| (407) 298-5300 | |
| (407) 296-0026 |
| Full Name | West Orange Speech Pathologist, Inc. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 6388 Silver Star Rd Ste 2e, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073788691 | NPI | - | NPPES |
| 202579 | Other | FL | AMERIGROUP |
| 882834200 | Medicaid | FL | |
| 18348 | Other | FL | STAYWELL / WELLCARE |
| 880650196 | Other | FL | MEDWAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA1245 (Florida) | Primary |
| Provider Name | Linda Tatum-riley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730226168 PECOS PAC ID: 7719119791 Enrollment ID: I20140404001038 |
| Mailing Address | Practice Location Address |
|---|---|
| West Orange Speech Pathologist, Inc. Po Box 555907, Orlando, FL 32855-5907 Ph: (407) 298-5300 | West Orange Speech Pathologist, Inc. 6388 Silver Star Rd Ste 2e, Orlando, FL 32818-3235 Ph: (407) 298-5300 |
Ms. Yentel C. Moses, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5210 Vatican Ave, Orlando, FL 32810 Phone: 954-494-5468 Fax: 954-989-7981 | |
Michelle Bartlett, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11602 Lake Underhill Rd Ste 129, Orlando, FL 32825 Phone: 239-298-6397 | |
Sonya Persaud, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7950 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-601-6888 | |
Keissy Lorini, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12377 S Orange Blossom Trl, Orlando, FL 32837 Phone: 407-857-1212 | |
Regan Brackin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1239 Mount Vernon St, Orlando, FL 32803 Phone: 407-810-2773 Fax: 407-867-6203 | |
Mrs. Rebecca L Burt, MA, CCC/SLP, NBCT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Derby Glen Dr, Orlando, FL 32837 Phone: 407-641-0808 Fax: 407-812-4358 | |
Dr. Charlotte M Harvey, EDD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12424 Research Pkwy, Suite 155, Orlando, FL 32826 Phone: 407-882-0468 Fax: 407-249-4774 |