Theresa Herbert, | |
13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | |
(813) 974-0602 | |
(813) 558-1343 |
Full Name | Theresa Herbert |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 13101 Bruce B Downs Blvd, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215160783 | NPI | - | NPPES |
001383800 | Medicaid | FL | |
001856500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SZ4827 (Florida) | Primary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
Provider Name | University Medical Service Association Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
---|---|
Theresa Herbert, 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 Ph: (813) 974-0602 | Theresa Herbert, 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 Ph: (813) 974-0602 |
Mrs. Yvette G Nackers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Highway, Independent Living Inc, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768 | |
Chatterbox Speech & Feeding Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1737 W North A St, Tampa, FL 33606 Phone: 813-924-0348 Fax: 813-793-4675 | |
Lara Quesada, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4555 S Manhattan Ave, Tampa, FL 33611 Phone: 813-839-6341 | |
Demelza Pendarvis-gray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Hwy, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768 | |
Success Speech Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4817 Ehrlich Rd, Tampa, FL 33624 Phone: 877-823-4283 | |
Rachel Rose Knowlton, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6924 W Linebaugh Ave, Tampa, FL 33625 Phone: 813-962-6766 | |
Mrs. Harriet Debra Bladuell, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13542 N Florida Ave, Suite 213f, Tampa, FL 33613 Phone: 813-323-5748 Fax: 813-319-5835 |