| Angelia Dykeman, SLP | |
| 
					237 N Woodland Dr, Forest, MS 39074-3307  | |
| (601) 564-8750 | |
| Not Available | 
| Full Name | Angelia Dykeman | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 237 N Woodland Dr, Forest, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487307401 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | S-4877 (Mississippi) | Primary | 
| Provider Name | Performance Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angelia Dykeman, SLP 921 W Beacon St, Philadelphia, MS 39350-3229 Ph: (601) 650-0002  | Angelia Dykeman, SLP 237 N Woodland Dr, Forest, MS 39074-3307 Ph: (601) 564-8750  | 
Larita Goforth, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001  | |
Paula Stacy Norman, SLT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009  | |
Sarah J Jones, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009  | |
Nancy G Culliver, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 339 W Third St, Forest, MS 39074 Phone: 601-287-8007 Fax: 717-565-1102  | |
Kaylin Mccree, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 237 N Woodland Dr Ste A, Forest, MS 39074 Phone: 601-564-8750  | |
Haley Huey Purvis, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009  |