| Ms Amanda Kathleen Kidd, CCC-SLP | |
|
321 Hospital Rd, Canton, GA 30114-2411 | |
| (770) 479-8791 | |
| Not Available |
| Full Name | Ms Amanda Kathleen Kidd |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 321 Hospital Rd, Canton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275141871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14321139 (Georgia) | Primary |
| Provider Name | Fox Rehabilitation Services Of South Carolina, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amanda Kathleen Kidd, CCC-SLP 705 Crescent Cir, Holly Springs, GA 30115-4772 Ph: () - | Ms Amanda Kathleen Kidd, CCC-SLP 321 Hospital Rd, Canton, GA 30114-2411 Ph: (770) 479-8791 |
Donna Fox, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Riverstone Dr Ste B, Canton, GA 30114 Phone: 770-345-7796 | |
Cheryl Marie Kane, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 212 Riverstone Dr, Canton, GA 30114 Phone: 770-345-7796 | |
Mrs. Katelyn Victoria Martino, CCC-M.ED. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 115 Academy St Ste 102, Canton, GA 30114 Phone: 404-444-1521 | |
Stephanie Nicole Post, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Riverstone Dr, Canton, GA 30114 Phone: 770-345-7796 | |
Mrs. Stephanie L Mello, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 Hammond Dr, Canton, GA 30114 Phone: 678-492-0400 Fax: 678-493-2052 | |
Alexa Larcinese, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 Hospital Cir, Canton, GA 30114 Phone: 770-479-5649 | |
Carolyn Pellegrino, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12875 Cumming Hwy, Canton, GA 30115 Phone: 770-240-0163 Fax: 770-240-0163 |