| Keisha Omwanghe, MCD,CCC-SLP | |
|
14369 Park Ave Ste 201a, Victorville, CA 92392-2300 | |
| (760) 278-1484 | |
| (855) 719-8152 |
| Full Name | Keisha Omwanghe |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 14369 Park Ave Ste 201a, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639724776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 38218 (California) | Primary |
| Provider Name | Momentum Speech Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134701048 PECOS PAC ID: 1951701747 Enrollment ID: O20210616000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Keisha Omwanghe, MCD,CCC-SLP 14369 Park Ave Ste 201a, Victorville, CA 92392-2300 Ph: (760) 278-1484 | Keisha Omwanghe, MCD,CCC-SLP 14369 Park Ave Ste 201a, Victorville, CA 92392-2300 Ph: (760) 278-1484 |
Momentum Speech Therapy Inc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14369 Park Ave Ste 201a, Victorville, CA 92392 Phone: 760-278-1484 Fax: 855-719-2558 | |
Catherine Ward, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13275 Mauka Ct, Victorville, CA 92395 Phone: 760-617-2016 | |
Roberta Moralez, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-843-5032 | |
Semetrah Alima Kincannon, M.S. CCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 14369 Park Ave Ste 201a, Victorville, CA 92392 Phone: 760-278-1484 Fax: 855-719-2558 | |
Nicole Marie Sweeney, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-843-5032 | |
Diane Carolyn Mercer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-962-8021 |