Mrs Deidre Dawn Maxwell, MS, CF-SLP | |
2865 E Main St, Humboldt, TN 38343-3070 | |
(731) 784-8405 | |
Not Available |
Full Name | Mrs Deidre Dawn Maxwell |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2865 E Main St, Humboldt, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548047004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 8313 (Tennessee) | Primary |
Provider Name | Empowerme Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467023861 PECOS PAC ID: 2769723162 Enrollment ID: O20210928002596 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deidre Dawn Maxwell, MS, CF-SLP 5 Hughes Loop, Milan, TN 38358-5504 Ph: (731) 414-1086 | Mrs Deidre Dawn Maxwell, MS, CF-SLP 2865 E Main St, Humboldt, TN 38343-3070 Ph: (731) 784-8405 |
Mrs. Jennifer M Harris, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1310 E Main St, Humboldt, TN 38343 Phone: 731-723-7319 | |
Mary Elizabeth Via, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2865 E Main St, Humboldt, TN 38343 Phone: 731-784-5817 | |
Elaine Henderson Ii, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2865 E Main St, Humboldt, TN 38343 Phone: 731-824-0057 | |
Alexandria M Blakemore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2865 E Main St, Humboldt, TN 38343 Phone: 731-784-8405 | |
Gina Eason Lee, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1310 E Main St, Humboldt, TN 38343 Phone: 731-618-1315 | |
Ms. Lori Ann Tims, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 E Mitchell St, Humboldt, TN 38343 Phone: 731-784-5183 Fax: 731-784-2105 |