Mary Katherine Lawless, SLP-CFY | |
315 Upper Riverdale Rd Sw, Riverdale, GA 30274-2500 | |
(770) 991-1050 | |
Not Available |
Full Name | Mary Katherine Lawless |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 315 Upper Riverdale Rd Sw, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194242354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | PCET002610 (Georgia) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689194755 PECOS PAC ID: 6507832573 Enrollment ID: O20170822000887 |
Mailing Address | Practice Location Address |
---|---|
Mary Katherine Lawless, SLP-CFY 315 Upper Riverdale Rd Sw, Riverdale, GA 30274-2500 Ph: (770) 991-1050 | Mary Katherine Lawless, SLP-CFY 315 Upper Riverdale Rd Sw, Riverdale, GA 30274-2500 Ph: (770) 991-1050 |
Tushanna Purdie Cole, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 Derby Dr, Riverdale, GA 30274 Phone: 770-827-0875 Fax: 678-379-0168 | |
Brittney Moore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8104 Webb Rd, Riverdale, GA 30274 Phone: 334-221-8183 | |
Leah K Kendrick, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1442 Cambridge Ct, Riverdale, GA 30296 Phone: 770-997-1791 | |
Ms. Lashawn Annette Simington-leroy, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 315 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-2636 | |
Kelley Ann Colyott, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 315 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-2636 | |
April Shannelle Carter, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6555 Professional Pl Ste A, Riverdale, GA 30274 Phone: 770-997-7890 Fax: 770-997-7894 |