| Kristen Stallings, MED CCC-SLP | |
|
3044 Due West Rd, Dallas, GA 30157-2125 | |
| (770) 443-9672 | |
| Not Available |
| Full Name | Kristen Stallings |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3044 Due West Rd, Dallas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578966628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP007967 (Georgia) | Primary |
| 235Z00000X | Speech-language Pathologist | 12154611 (Georgia) | Secondary |
| Provider Name | Voice, Speech And Swallowing Center Of Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760040414 PECOS PAC ID: 2466873864 Enrollment ID: O20200610000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Stallings, MED CCC-SLP 3044 Due West Rd, Dallas, GA 30157-2125 Ph: (770) 443-9672 | Kristen Stallings, MED CCC-SLP 3044 Due West Rd, Dallas, GA 30157-2125 Ph: (770) 443-9672 |
Leah Reilly Nichols, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Road, Dallas, GA 30157 Phone: 770-443-9672 | |
Amy Mason, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 Fax: 770-505-3595 | |
Emily Gantt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 283 Red Hawk Way, Dallas, GA 30132 Phone: 561-801-3148 | |
Mary Kathleen Morris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 | |
Andrea Baerwalde, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Garland Rose Ln, Dallas, GA 30157 Phone: 770-380-2067 Fax: 770-974-7631 | |
Clifton Young, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 | |
Jessica Duffey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 |