| Ms Kelly Leigh Ipock, MS,CCC-SLP | |
|
180 Brewster Blvd., Camp Lejeune, NC 28547 | |
| (910) 449-1100 | |
| (910) 450-4377 |
| Full Name | Ms Kelly Leigh Ipock |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 180 Brewster Blvd., Camp Lejeune, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669627667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3192 (North Carolina) | Primary |
| Provider Name | Raise The Bar Therapy Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023486602 PECOS PAC ID: 0941519193 Enrollment ID: O20151029000264 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly Leigh Ipock, MS,CCC-SLP 111 S Railroad Ave, Dunn, NC 28334-4853 Ph: (910) 892-0027 | Ms Kelly Leigh Ipock, MS,CCC-SLP 180 Brewster Blvd., Camp Lejeune, NC 28547 Ph: (910) 449-1100 |
Mr. Dean R. Trombley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-3905 Fax: 910-450-4558 | |
Ms. Gernise T Dixon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-449-2779 | |
Ms. Bailey Caroline Wilkes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4136 Fax: 910-450-4558 | |
Mrs. Eileen Gill Matthews, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-449-1130 | |
Leslee Lynne Hicks, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-449-1100 | |
Kerri Parker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 180 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-449-1151 |