| Carol A Mattingly, SLP | |
|
Genesis Rehab, 2001 Ridgewood Drive, Salem, VA 24153 | |
| (540) 378-4120 | |
| (540) 378-4121 |
| Full Name | Carol A Mattingly |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | Genesis Rehab, Salem, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Mattingly, SLP 4216 Whitehall Cir, Roanoke, VA 24018-3026 Ph: (540) 774-4278 | Carol A Mattingly, SLP Genesis Rehab, 2001 Ridgewood Drive, Salem, VA 24153 Ph: (540) 378-4120 |
Ms. Laurel Colletti Riddle, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1038 | |
Ms. Karen Leslie Gaines, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Lou Ann St, Salem, VA 24153 Phone: 540-230-3298 | |
Mrs. April Ann Joachim, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6804 Fairway Ridge Rd, Salem, VA 24153 Phone: 757-621-9499 | |
Dr. Randy Jennings, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S College Ave, Salem, VA 24153 Phone: 540-389-0130 Fax: 540-389-3638 | |
Edie F Doherty, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Outpatient Neuro Clinic, Salem, VA 24153 Phone: 540-772-3770 Fax: 540-725-4565 | |
Ms. Christen Haig, M.ED. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 E Main St, Salem, VA 24153 Phone: 540-375-2860 | |
Monica Lynn Perdue-johnson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 Upland Dr, Salem, VA 24153 Phone: 540-797-5243 |