Treasure Coast Swallowing Diagnostics Inc | |
64 Joy Haven Dr, Sebastian, FL 32958-6282 | |
(954) 249-1693 | |
Not Available |
Full Name | Treasure Coast Swallowing Diagnostics Inc |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 64 Joy Haven Dr, Sebastian, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215299276 | NPI | - | NPPES |
1013971159 | Other | FL | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
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235Z00000X | Speech-language Pathologist | SA 7547 (Florida) | Primary |
Provider Name | Michael C Gaughran |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1013971159 PECOS PAC ID: 6507108883 Enrollment ID: I20190809001020 |
Mailing Address | Practice Location Address |
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Treasure Coast Swallowing Diagnostics Inc 64 Joy Haven Dr, Sebastian, FL 32958-6282 Ph: (954) 249-1693 | Treasure Coast Swallowing Diagnostics Inc 64 Joy Haven Dr, Sebastian, FL 32958-6282 Ph: (954) 249-1693 |
Mr. Michael Christopher Gaughran, MS CCC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 64 Joy Haven Dr, Sebastian, FL 32958 Phone: 954-249-1693 | |
Jennifer Wood, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 334 Seaside Ter Ste 6, Sebastian, FL 32958 Phone: 772-480-0407 | |
Jessica Fitzgerald, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9853 Honeysuckle Dr, Sebastian, FL 32976 Phone: 772-664-4382 | |
Lisa B. Hansen, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1670 Barber St, Sebastian, FL 32958 Phone: 772-226-5454 | |
June C Brown, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14155 81st Ave, Sebastian, FL 32958 Phone: 772-559-8543 |