| Mrs Miranda Givens Gunn, MS CCC-SLP | |
|
935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | |
| (276) 622-3636 | |
| (276) 627-0060 |
| Full Name | Mrs Miranda Givens Gunn |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 935 Fairystone Park Hwy, Stanleytown, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316439458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2202008563 (Virginia) | Primary |
| Provider Name | Acme Therapies Co |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417475898 PECOS PAC ID: 8022384577 Enrollment ID: O20171027001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Miranda Givens Gunn, MS CCC-SLP 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 Ph: (276) 622-3636 | Mrs Miranda Givens Gunn, MS CCC-SLP 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 Ph: (276) 622-3636 |
Jana Danielle Hopper, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
Cathy Martin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 74 Edgewood Dr, Stanleytown, VA 24168 Phone: 276-629-5084 | |
Caillie Smith, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
Sarah Aiken, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 |