| Mrs Ellen Nicole White, MA | |
|
3900 Llewellyn Ave, Norfolk, VA 23504-1203 | |
| (757) 625-5363 | |
| Not Available |
| Full Name | Mrs Ellen Nicole White |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 6 Years |
| Location | 3900 Llewellyn Ave, Norfolk, 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 |
|---|---|---|---|
| 1912565789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14556 (Ohio) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2202010702 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023684370 PECOS PAC ID: 2163339722 Enrollment ID: O20210825003977 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ellen Nicole White, MA 6026 Deerfield Blvd Unit 201, Mason, OH 45040-2696 Ph: (716) 307-9485 | Mrs Ellen Nicole White, MA 3900 Llewellyn Ave, Norfolk, VA 23504-1203 Ph: (757) 625-5363 |
Caroline Rose Mcgeehan, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6501 Chesapeake Blvd, Norfolk, VA 23513 Phone: 859-912-3660 | |
Amy Bischof, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3900 Llewellyn Ave, Norfolk, VA 23504 Phone: 757-625-5363 Fax: 757-625-5363 | |
Dorothy Mann, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3509 Granby St Ste B, Norfolk, VA 23504 Phone: 757-423-8885 | |
Ms. Candace Alisa Delpino, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 E City Hall Ave Rm 800, Norfolk, VA 23510 Phone: 757-510-1758 | |
Sarah Magsakay, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2080 Tarrallton Dr, Norfolk, VA 23518 Phone: 757-531-1800 | |
Mrs. Lynne M. Dickman, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1309 Kempsville Rd, Norfolk, VA 23502 Phone: 757-461-5001 | |
Leyla Navarro-salazar, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 876 C Ave, Norfolk, VA 23504 Phone: 270-363-5691 |