| Deeper Roots Speech Therapy, Llc | |
|
813 Trace Ln, Lawrenceville, GA 30046-4003 | |
| (601) 654-4912 | |
| Not Available |
| Full Name | Deeper Roots Speech Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 813 Trace Ln, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760139562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Megan Renee Ledford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992313530 PECOS PAC ID: 3678942836 Enrollment ID: I20221209000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Deeper Roots Speech Therapy, Llc 813 Trace Ln, Lawrenceville, GA 30046-4003 Ph: (601) 654-4912 | Deeper Roots Speech Therapy, Llc 813 Trace Ln, Lawrenceville, GA 30046-4003 Ph: (601) 654-4912 |
Ms. Donna Marie Pharis, ED.S,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Carrie Latham, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Rita Michelle Moynihan-greenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 407-310-7378 | |
Katherine Bonas, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Melinda Kelly, M.ED.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 318 W Pike St, Suite 104, Lawrenceville, GA 30045 Phone: 678-377-2833 Fax: 678-377-2882 | |
Morgan Brianna Serwat, M.ED. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 545 Old Norcross Rd, Lawrenceville, GA 30046 Phone: 630-441-6102 | |
Mrs. Esther Brooks Witter, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3100 Club Dr, Lawrenceville, GA 30044 Phone: 770-923-3100 |