| Anthony Michael Fernandez, CCC-SLP | |
|
5117 Twelvepole Dr, Raleigh, NC 27616-5877 | |
| (786) 512-3113 | |
| Not Available |
| Full Name | Anthony Michael Fernandez |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 5117 Twelvepole Dr, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245738079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SZ9180 (Florida) | Primary |
| Provider Name | Super Hero Speech Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124495791 PECOS PAC ID: 3678805603 Enrollment ID: O20191024001377 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Michael Fernandez, CCC-SLP 5117 Twelvepole Dr, Raleigh, NC 27616-5877 Ph: (786) 512-3113 | Anthony Michael Fernandez, CCC-SLP 5117 Twelvepole Dr, Raleigh, NC 27616-5877 Ph: (786) 512-3113 |
Jessica Cartee Howe, MS-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-684-6271 | |
Callie Hucks, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8402 Six Forks Rd Ste 103, Raleigh, NC 27615 Phone: 919-219-5277 | |
Mrs. Marian Gray Player, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8113 Glenbrittle Way, Raleigh, NC 27615 Phone: 919-848-0492 Fax: 919-848-0492 | |
Jennifer Minihan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4328 Bland Rd, Raleigh, NC 27609 Phone: 919-981-6588 Fax: 919-981-6255 | |
Mrs. Ariel R Cohen, MACCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12335 Honeychurch St, Raleigh, NC 27614 Phone: 410-274-9919 | |
Ashley Brasfield, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2709 Blue Ridge Rd, Raleigh, NC 27607 Phone: 919-784-4696 | |
Denine M Goodwin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2626 Glenwood Ave, Suite 160, Raleigh, NC 27608 Phone: 919-781-9565 |