| Rebecca Amber Crowe Russell, MS, CCC-SLP | |
|
13721 Heritage Dr, Laurinburg, NC 28352-9185 | |
| (910) 206-8228 | |
| Not Available |
| Full Name | Rebecca Amber Crowe Russell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 13721 Heritage Dr, Laurinburg, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285893354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7173 (North Carolina) | Primary |
| 235Z00000X | Speech-language Pathologist | 4110 (South Carolina) | Secondary |
| Provider Name | Life 360 Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508238403 PECOS PAC ID: 5991104390 Enrollment ID: O20210603002746 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Amber Crowe Russell, MS, CCC-SLP 13721 Heritage Drive, Laurinburg, NC 28352 Ph: (910) 206-8228 | Rebecca Amber Crowe Russell, MS, CCC-SLP 13721 Heritage Dr, Laurinburg, NC 28352-9185 Ph: (910) 206-8228 |
Ms. Melody K Stills, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 714 Atkinson Street, Laurinburg, NC 28352 Phone: 910-423-5622 Fax: 910-423-5538 | |
Kierstin Brooks Godfrey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 704b Progress Pl, Laurinburg, NC 28352 Phone: 910-217-1862 Fax: 910-506-4076 | |
Carolina Therapy Associates, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 West Boulevard, Laurinburg, NC 28352 Phone: 910-506-4810 | |
Kali M Deese, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 714 Atkinson St, Laurinburg, NC 28352 Phone: 910-277-1588 Fax: 910-277-1589 | |
Mrs. Katherine Covington Bullard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 416 S King St, Laurinburg, NC 28352 Phone: 910-276-3313 | |
Robin Davis, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 714 Atkinson St, Laurinburg, NC 28352 Phone: 910-277-1588 Fax: 910-277-1589 |