| Mrs Brenda R Ethridge, GSL-SP | |
|
158 Albert Grimsley Dr, Cochran, GA 31014-8321 | |
| (478) 934-1728 | |
| Not Available |
| Full Name | Mrs Brenda R Ethridge |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 158 Albert Grimsley Dr, Cochran, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801123815 | NPI | - | NPPES |
| 000720695B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 001141 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenda R Ethridge, GSL-SP 158 Albert Grimsley Dr, Cochran, GA 31014-8321 Ph: (478) 934-1728 | Mrs Brenda R Ethridge, GSL-SP 158 Albert Grimsley Dr, Cochran, GA 31014-8321 Ph: (478) 934-1728 |
Chad Eric Smith, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1125 Ga Hwy 126, Cochran, GA 31014 Phone: 478-934-6338 | |
Melanie Yeomans Fish, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Kingston St, Cochran, GA 31014 Phone: 229-860-0231 Fax: 229-860-0231 | |
Nikki Dubois, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 165 Race Track Dr., Cochran, GA 31014 Phone: 478-934-2309 Fax: 478-934-2341 | |
Tanya S. Manning, M.ED. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 385 Rebie Rd, Cochran, GA 31014 Phone: 478-358-9447 |