| Mrs Jacie Layne Smith-hyatt, CCC-SLP | |
|
269 County Road 4185, Orange, TX 77632-8620 | |
| (409) 670-6566 | |
| Not Available |
| Full Name | Mrs Jacie Layne Smith-hyatt |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 269 County Road 4185, Orange, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649879024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 8418 (Louisiana) | Secondary |
| 235Z00000X | Speech-language Pathologist | 117494 (Texas) | Primary |
| Provider Name | Theraspace Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710588082 PECOS PAC ID: 6305247123 Enrollment ID: O20210630000971 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacie Layne Smith-hyatt, CCC-SLP 269 County Road 4185, Orange, TX 77632-8620 Ph: (409) 344-9089 | Mrs Jacie Layne Smith-hyatt, CCC-SLP 269 County Road 4185, Orange, TX 77632-8620 Ph: (409) 670-6566 |
Mr. Venkatesh C. S. Srinibasa Murphy, M. S., PH. D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1905 Thousand Oaks Dr, Orange, TX 77632 Phone: 409-670-1536 | |
Justin Aaron Evans, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2363 Twin Oaks, Orange, TX 77630 Phone: 409-670-5991 | |
Carley Kay Erickson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 807 Henderson Ave, Orange, TX 77630 Phone: 409-877-1091 | |
Bright Futures Pediatric Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9381 Stonewood Dr, Orange, TX 77630 Phone: 409-656-2982 | |
Haley Ann Jones, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1803 Hearthside Dr, Orange, TX 77630 Phone: 170-204-5695 | |
Taylor Angelle, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6901 Medical Center Dr, Orange, TX 77630 Phone: 409-344-9089 Fax: 409-344-9390 | |
Marilee Katherine Brinson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6901 Medical Center Dr Ste 260, Orange, TX 77630 Phone: 409-344-9089 |