| Michelle L Thompson, MS CCC-SLP | |
|
201 E Academy St Ste 103, Fuquay Varina, NC 27526-2248 | |
| (984) 381-5778 | |
| (919) 285-2475 |
| Full Name | Michelle L Thompson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 201 E Academy St Ste 103, Fuquay Varina, 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 |
|---|---|---|---|
| 1700809324 | NPI | - | NPPES |
| 9394 | Other | NC | STATE LICENSE |
| 07003114 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 9394 (North Carolina) | Primary |
| Provider Name | Kidology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730591991 PECOS PAC ID: 3476943887 Enrollment ID: O20211129001112 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L Thompson, MS CCC-SLP 9933 Clayton Blvd, Clayton, NC 27520-2113 Ph: (720) 369-5266 | Michelle L Thompson, MS CCC-SLP 201 E Academy St Ste 103, Fuquay Varina, NC 27526-2248 Ph: (984) 381-5778 |
Haley Murdock, MS, CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 141 N Main St, Fuquay Varina, NC 27526 Phone: 919-577-6807 | |
Brittany Zinkow, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Sundance Kids Speech And Language Therapy Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2033 Herbert Akins Rd, Fuquay Varina, NC 27526 Phone: 919-577-6135 | |
Melanie Wang, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7125 Winter Pond Way, Fuquay Varina, NC 27526 Phone: 919-348-9174 | |
Ms. Bridget Anne Hall, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 141 N. Main Street, Fuquay Varina, NC 27526 Phone: 919-577-6807 | |
Mrs. Meghan Eivers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 141 N Main St, Fuquay Varina, NC 27526 Phone: 919-577-6807 | |
Mamei Siatta Mansaray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1833 Cinema Dr, Fuquay Varina, NC 27526 Phone: 919-398-4014 |