| Vantage Speech & Language Llc | |
|
421 Barony St Suite 3, Moncks Corner, SC 29461-3145 | |
| (843) 790-4093 | |
| (843) 501-2297 |
| Full Name | Vantage Speech & Language Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 421 Barony St Suite 3, Moncks Corner, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063907731 | NPI | - | NPPES |
| GP9008 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Guy J Vinette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164916359 PECOS PAC ID: 2769734029 Enrollment ID: I20181016000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Speech & Language Llc 421 Barony St Suite 3, Moncks Corner, SC 29461-3145 Ph: (843) 790-4093 | Vantage Speech & Language Llc 421 Barony St Suite 3, Moncks Corner, SC 29461-3145 Ph: (843) 790-4093 |
Mrs. Kelly Murchison Brown, MSP,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1060 Sugar Hill Dr, Moncks Corner, SC 29461 Phone: 843-899-7898 | |
Berkeley County School District Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 229 E Main St, Moncks Corner, SC 29461 Phone: 843-899-8600 | |
Berkeley County School District Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 406 W Main St, Moncks Corner, SC 29461 Phone: 843-899-8800 Fax: 843-899-8810 | |
Ashley Elizabeth Manilenko, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 505 S Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-761-8368 | |
Miss Lindsey Jeanne Woodruff, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 777 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-899-8870 | |
Elan Hutchinson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 N Live Oak Dr, Moncks Corner, SC 29461 Phone: 184-389-9880 | |
Emily Estes Puckett, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 421 Barony St Ste 3, Moncks Corner, SC 29461 Phone: 843-790-4093 |