| Amazing Brains Therapy, Llc | |
|
2706 Eton Rd, Charlottesville, VA 22903-4132 | |
| (757) 304-6282 | |
| (855) 610-2253 |
| Full Name | Amazing Brains Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2706 Eton Rd, Charlottesville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013589829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Kasha Mustin Herek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669706776 PECOS PAC ID: 2365835261 Enrollment ID: I20220216001701 |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Brains Therapy, Llc 2706 Eton Rd, Charlottesville, VA 22903-4132 Ph: (757) 304-6282 | Amazing Brains Therapy, Llc 2706 Eton Rd, Charlottesville, VA 22903-4132 Ph: (757) 304-6282 |
Ms. Kelsey Conlan O'boyle, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1102 Rose Hill Dr, Charlottesville, VA 22903 Phone: 434-979-8628 | |
Mrs. Emily Estes, M.ED., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1622 Timberwood Blvd Ste And211, Charlottesville, VA 22911 Phone: 434-202-2830 Fax: 434-529-8457 | |
Tristen Leigh Wood, M.ED. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 417 Emmet Street, South, Charlottesville, VA 22904 Phone: 434-924-7034 Fax: 434-924-4621 | |
Caitlyn Graham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 Lake Club Ct, #103, Charlottesville, VA 22902 Phone: 910-547-5694 | |
Mr. Kevin Patrick Grunden, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 171 Deerwood Dr, Charlottesville, VA 22911 Phone: 434-989-3690 | |
Deborah Ellen Ferreira, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2600 Barracks Rd, Charlottesville, VA 22901 Phone: 434-963-4198 |