| Kimberly Lavacca, MS, CCC-SLP | |
|
680 Kingsborough Sq Ste B, Chesapeake, VA 23320-4988 | |
| (757) 547-0434 | |
| (575) 470-6257 |
| Full Name | Kimberly Lavacca |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 4 Years |
| Location | 680 Kingsborough Sq Ste B, Chesapeake, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396327219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2204000647 (Virginia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2202010342 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivyrehab Sept, Llc | 7911990908 | 166 |
| Provider Name | Ivyrehab Sept, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Lavacca, MS, CCC-SLP 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (914) 265-4582 | Kimberly Lavacca, MS, CCC-SLP 680 Kingsborough Sq Ste B, Chesapeake, VA 23320-4988 Ph: (757) 547-0434 |
Allison Huttenbrauck, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 715 Argyll St, Chesapeake, VA 23320 Phone: 757-547-4528 Fax: 757-547-0632 | |
Peyton Hall, M.S. CCC-SLP Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 Phone: 757-881-1137 Fax: 757-881-1138 | |
Ms. Lori Catherine Sandoval, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Sweetbay Dr, Chesapeake, VA 23322 Phone: 757-546-8081 | |
Ms. Catherine M. Walters, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 109 Benefit Rd, Chesapeake, VA 23322 Phone: 757-421-7080 | |
Alyssa Boone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1968 Bruin Pl, Chesapeake, VA 23321 Phone: 757-638-7900 | |
Miss Marcella Yuvonne Smith, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2248 Averill Dr, Chesapeake, VA 23323 Phone: 757-558-8923 Fax: 757-558-4486 | |
Kalen Michelle Stankoski, M.A.,CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Guenevere Dr, Chesapeake, VA 23323 Phone: 757-558-5347 |