| Sarah Lively, CCC-SLP | |
|
111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092-3065 | |
| (904) 729-6759 | |
| Not Available |
| Full Name | Sarah Lively |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 111 Nature Walk Pkwy Unit 108, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740721885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA14057 (Florida) | Primary |
| Provider Name | Lively Speech And Language Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912614488 PECOS PAC ID: 6406217223 Enrollment ID: O20230726002771 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Lively, CCC-SLP 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092-3065 Ph: (904) 729-6759 | Sarah Lively, CCC-SLP 111 Nature Walk Pkwy Unit 108, St Augustine, FL 32092-3065 Ph: (904) 729-6759 |
Kristin Bowman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092 Phone: 904-230-7761 Fax: 904-230-7763 | |
Benjamin Manning, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Water St, St Augustine, FL 32084 Phone: 727-364-4024 | |
Pamela P Crawford, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 542 Sarto Ct, St Augustine, FL 32086 Phone: 904-797-6405 | |
Dianne Roosen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Coleman Dr, St Augustine, FL 32084 Phone: 727-967-1036 | |
Caitlin Mason, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Water St, St Augustine, FL 32084 Phone: 727-364-4024 | |
Rachelle Nicholson Mccranie, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 362 Rosa Ct, St Augustine, FL 32086 Phone: 904-315-4265 | |
Mrs. Kai Jeanine Long, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 190 Southpark Blvd, Suite 100, St Augustine, FL 32086 Phone: 904-824-1478 |