Micaela Temple Andrus, SLP | |
7955 Huckleberry Ln, Summit, MS 39666-7086 | |
(601) 870-4360 | |
Not Available |
Full Name | Micaela Temple Andrus |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 7955 Huckleberry Ln, Summit, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639958333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4780 (Mississippi) | Primary |
Provider Name | Pure Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669251369 PECOS PAC ID: 9032565544 Enrollment ID: O20231019001364 |
Mailing Address | Practice Location Address |
---|---|
Micaela Temple Andrus, SLP 7955 Huckleberry Ln, Summit, MS 39666-7086 Ph: (601) 870-4360 | Micaela Temple Andrus, SLP 7955 Huckleberry Ln, Summit, MS 39666-7086 Ph: (601) 870-4360 |
Rise And Shine Therapy Collective, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1044 Singleton Dr, Summit, MS 39666 Phone: 601-810-3705 | |
Elizabeth Fuller, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Katherine Barker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-847-7040 | |
Brina Oscar, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Kendria Coleman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4109 Hwy 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Kyndall Rushing, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 Fax: 601-276-3939 | |
Scott Schilling, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 |