| Carol A Mattingly, MS, CCC-SLP | |
| 1102 Rose Hill Dr, Charlottesville, VA 22903-5128 | |
| (434) 979-8628 | |
| (434) 979-8536 | 
| Full Name | Carol A Mattingly | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 1102 Rose Hill Dr, Charlottesville, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326169913 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202004390 (Virginia) | Primary | 
| Provider Name | Martha Jefferson House | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1093445165 PECOS PAC ID: 6406236967 Enrollment ID: O20220630002101 | 
| Provider Name | Ivyrehab Sept, Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carol A Mattingly, MS, CCC-SLP 2695 Plank Rd, North Garden, VA 22959-2418 Ph: (276) 634-7164 | Carol A Mattingly, MS, CCC-SLP 1102 Rose Hill Dr, Charlottesville, VA 22903-5128 Ph: (434) 979-8628 | 
| 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 | |
| Kate Quigley, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 343 Archer Ave, Charlottesville, VA 22911 Phone: 434-326-1077 | |
| 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 | |
| Amazing Brains Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2706 Eton Rd, Charlottesville, VA 22903 Phone: 757-304-6282 Fax: 855-610-2253 | |
| Georgiana Heermann, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1102 Rose Hill Dr, Charlottesville, VA 22903 Phone: 434-979-8628 Fax: 434-979-8536 | |
| Caitlyn Graham,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 Lake Club Ct, #103, Charlottesville, VA 22902 Phone: 910-547-5694 |