| Mary M Hansford, | |
|
14715 Bristow Rd, Manassas, VA 20112-3945 | |
| (703) 594-3990 | |
| Not Available |
| Full Name | Mary M Hansford |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 22 Years |
| Location | 14715 Bristow Rd, Manassas, 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 |
|---|---|---|---|
| 1861981615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202004629 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Functional Pathways Preferred Of Tennessee Llc | 2860649654 | 194 |
| Functional Pathways Preferred Of Tennessee Llc | 2860649654 | 194 |
| Provider Name | Functional Pathways Preferred of Tennessee LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20171211000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M Hansford, 14715 Bristow Rd, Manassas, VA 20112-3945 Ph: Not Available | Mary M Hansford, 14715 Bristow Rd, Manassas, VA 20112-3945 Ph: (703) 594-3990 |
Amy Maria Nojaim, MA,CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 |
Lisa Mathias Weathers, MS, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristow Rd, Manassas, VA 20112 Phone: 703-791-2099 |
Mrs. Nita Putnam, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristow Rd, Manassas, VA 20112 Phone: 703-586-9929 |
Desirea Moore-mitchell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristow Rd, Manassas, VA 20112 Phone: 703-791-7200 |
Mrs. Simona Enrica Bettineschi Mitchell, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8605 Centreville Rd, Manassas, VA 20110 Phone: 703-257-0935 |
Brooke Newman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristow Road, Manassas, VA 20112 Phone: 703-361-3185 |
Mrs. Marie Elizabeth Hines, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8757 Antonia Ave, Manassas, VA 20110 Phone: 703-331-1350 |