| Momentum Speech Therapy Inc | |
|
15409 Anacapa Rd Ste 409a, Victorville, CA 92392-2463 | |
| (760) 278-1484 | |
| (855) 719-2558 |
| Full Name | Momentum Speech Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 15409 Anacapa Rd Ste 409a, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134701048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Semetrah Alima Kincannon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518436278 PECOS PAC ID: 3779983564 Enrollment ID: I20210616000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Speech Therapy Inc 12722 Silver Spur Way, Victorville, CA 92392-7437 Ph: (760) 694-3240 | Momentum Speech Therapy Inc 15409 Anacapa Rd Ste 409a, Victorville, CA 92392-2463 Ph: (760) 278-1484 |
Catherine Ward, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13275 Mauka Ct, Victorville, CA 92395 Phone: 760-617-2016 | |
Roberta Moralez, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-843-5032 | |
Semetrah Alima Kincannon, M.S. CCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 15409 Anacapa Rd Ste 409a, Victorville, CA 92392 Phone: 760-278-1484 Fax: 855-719-2558 | |
Nicole Marie Sweeney, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-843-5032 | |
Diane Carolyn Mercer, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-962-8021 | |
Natalie Lynn Phillips, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-963-2838 |