| Semetrah Alima Kincannon, MS CCC SLP | |
|
14369 Park Ave Ste 201a, Victorville, CA 92392-2300 | |
| (760) 278-1484 | |
| (855) 719-2558 |
| Full Name | Semetrah Alima Kincannon |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 14369 Park Ave Ste 201a, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518436278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP28180 (California) | Primary |
| Provider Name | Momentum Speech Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134701048 PECOS PAC ID: 1951701747 Enrollment ID: O20210616000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Semetrah Alima Kincannon, MS CCC SLP 12722 Silver Spur Way, Victorville, CA 92392-7437 Ph: (760) 694-3240 | Semetrah Alima Kincannon, MS CCC SLP 14369 Park Ave Ste 201a, Victorville, CA 92392-2300 Ph: (760) 278-1484 |
Momentum Speech Therapy Inc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14369 Park Ave Ste 201a, Victorville, CA 92392 Phone: 760-278-1484 Fax: 855-719-2558 |
Breana Long, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Victorville, CA 92395 Phone: 909-375-1836 Fax: 885-891-9996 |
Catherine Ward, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13275 Mauka Ct, Victorville, CA 92395 Phone: 760-617-2016 |
Roberta Moralez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-843-5032 |
Nicole Marie Sweeney, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-843-5032 |
Diane Carolyn Mercer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-962-8021 |
Natalie Lynn Phillips, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-963-2838 |