| Caroline B Moore, ST | |
|
32 Garland Dr, Jackson, TN 38305-3602 | |
| (731) 664-3645 | |
| (731) 668-6549 |
| Full Name | Caroline B Moore |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 32 Garland Dr, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780619056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2912 (Tennessee) | Primary |
| Provider Name | Therapy & Learning Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780395830 PECOS PAC ID: 4688779457 Enrollment ID: O20230301000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline B Moore, ST 1804 Highway 45 Byp, Ste 604, Jackson, TN 38305-4436 Ph: (731) 660-8755 | Caroline B Moore, ST 32 Garland Dr, Jackson, TN 38305-3602 Ph: (731) 664-3645 |
Mrs. Haley Trull, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 65 Ridgecrest Rd, Jackson, TN 38305 Phone: 731-668-6076 | |
Shayna Kay Wood, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 65 Ridgecrest Rd, Jackson, TN 38305 Phone: 731-668-6076 | |
Sherri B Coker, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5 Walnut Grove Cv, Jackson, TN 38305 Phone: 629-221-0364 Fax: 615-691-7133 | |
Tawanna Chism, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 48 Rampart Dr, Jackson, TN 38305 Phone: 901-281-8170 | |
Mary E Lowe, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 Forest Cove, Jackson, TN 38301 Phone: 731-424-4200 | |
Kimberli Kaye Moore, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 65 Ridgecrest Rd, Jackson, TN 38305 Phone: 731-668-6076 Fax: 731-668-7033 | |
Mrs. Billie Suanne Griffin, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1119 Old Humboldt Rd, Jackson, TN 38305 Phone: 731-554-5169 Fax: 731-668-1666 |