| Mary Garavaglia, MA CCC-SLP | |
| 
					110 Kingston Cir, Goldsboro, NC 27530-7756  | |
| (512) 679-5621 | |
| Not Available | 
| Full Name | Mary Garavaglia | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 110 Kingston Cir, Goldsboro, 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 | 
|---|---|---|---|
| 1730636754 | NPI | - | NPPES | 
| 12136977 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | |
| 12360 | Other | NC | NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 12360 (North Carolina) | Primary | 
| Provider Name | Legacy Healthcare Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750  | 
| Provider Name | Expressable Speech-language Pathology Pc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20220315000896  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mary Garavaglia, MA CCC-SLP 110 Kingston Cir, Goldsboro, NC 27530-7756 Ph: (512) 679-5621  | Mary Garavaglia, MA CCC-SLP 110 Kingston Cir, Goldsboro, NC 27530-7756 Ph: (512) 679-5621  | 
Auntie Ms Speech Services Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 W Mulberry St, D, Goldsboro, NC 27530 Phone: 919-920-9884 Fax: 855-854-4447  | |
Elissa Alexander, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2401 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-736-2121  | |
Better Speech And Language Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3888 E Ash St, Goldsboro, NC 27534 Phone: 919-583-5375 Fax: 919-583-5235  | |
Mr. Jordan Avery Price, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1506 Wayne Memorial Dr Ste C, Goldsboro, NC 27534 Phone: 910-298-2331  | |
Vivian C Costa,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 627 Deer Acres Dr, Goldsboro, NC 27530 Phone: 919-734-6649 Fax: 919-734-6649  | |
Mrs. Penelope Boyette Ragan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 Glen Oak Dr, Goldsboro, NC 27534 Phone: 919-734-1773 Fax: 919-580-0023  | |
Brenda A. Taylor Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 627 Deer Acres Dr, Goldsboro, NC 27530 Phone: 919-734-6649 Fax: 919-734-6649  |