| Sarah Aiken, CCC-SLP | |
|
935 Fairystone Park Hwy, Stanleytown, VA 24168 | |
| (276) 622-3636 | |
| Not Available |
| Full Name | Sarah Aiken |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 935 Fairystone Park Hwy, Stanleytown, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922535905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 13749 (North Carolina) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2202008562 (Virginia) | Primary |
| Provider Name | Coastline Therapy Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730681388 PECOS PAC ID: 5799023826 Enrollment ID: O20190214001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Aiken, CCC-SLP 1101 Brookdale St Ste B, Martinsville, VA 24112-4500 Ph: (276) 694-0124 | Sarah Aiken, CCC-SLP 935 Fairystone Park Hwy, Stanleytown, VA 24168 Ph: (276) 622-3636 |
Mrs. Miranda Givens Gunn, M.S. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
Jana Danielle Hopper, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
Cathy Martin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 74 Edgewood Dr, Stanleytown, VA 24168 Phone: 276-629-5084 | |
Caillie Smith, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 |