| Carolina Speech Source, Llc | |
|
858 2nd St Ne Ste 101, Hickory, NC 28601-3878 | |
| (828) 322-7826 | |
| Not Available |
| Full Name | Carolina Speech Source, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 858 2nd St Ne Ste 101, Hickory, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881671394 | NPI | - | NPPES |
| 7211073 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Gregory J Antal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649585167 PECOS PAC ID: 2365792579 Enrollment ID: I20180910002687 |
| Provider Name | Rachel Boisvert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689155491 PECOS PAC ID: 8123452885 Enrollment ID: I20200106001017 |
| Provider Name | Monica Guess |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356711188 PECOS PAC ID: 9133555428 Enrollment ID: I20200205000694 |
| Provider Name | Nicole Buscema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386169605 PECOS PAC ID: 9638436686 Enrollment ID: I20200421002284 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Speech Source, Llc 858 2nd St Ne Ste 101, Hickory, NC 28601-3878 Ph: (828) 322-7826 | Carolina Speech Source, Llc 858 2nd St Ne Ste 101, Hickory, NC 28601-3878 Ph: (828) 322-7826 |
Cynthia Dugger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 13th Avenue Pl Nw, Hickory, NC 28601 Phone: 828-328-5646 | |
Amber Kimrey Cooper, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1087 13th St Se, Hickory, NC 28602 Phone: 828-267-1688 | |
Dara Childers, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2121 12th Ave Ne, Hickory, NC 28601 Phone: 828-381-1203 | |
Shana Barkes, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Center St, Hickory, NC 28601 Phone: 828-315-5000 | |
Sharon Krider, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1021 15th Ave Nw, Hickory, NC 28601 Phone: 828-322-7826 | |
Kristen Jo Kaylor Royall, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2121 12th Ave Ne, Hickory, NC 28601 Phone: 828-578-6028 | |
Andrea Fite, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3635 Wandering Ln Ne, Hickory, NC 28601 Phone: 828-612-9258 |