| Spark Therapy, Llc | |
|
5289 Youngton Rd, Vicksburg, MS 39183-7116 | |
| (601) 618-1510 | |
| Not Available |
| Full Name | Spark Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 5289 Youngton Rd, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538025382 | NPI | - | NPPES |
| 007789524 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Therapy, Llc 5289 Youngton Rd, Vicksburg, MS 39183-7116 Ph: (601) 618-1510 | Spark Therapy, Llc 5289 Youngton Rd, Vicksburg, MS 39183-7116 Ph: (601) 618-1510 |
Karen Bourne, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-638-4986 | |
Presley Jackson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2222 S Frontage Rd, Vicksburg, MS 39180 Phone: 601-852-3271 | |
Miss Hope Evans, MS SLP/CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1905 Grove St, Vicksburg, MS 39183 Phone: 901-246-8233 | |
Kara Brister, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-636-4986 | |
Alyssa Smith Scott, M.S. CC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 916 Belmont St Ste 1, Vicksburg, MS 39180 Phone: 601-852-3271 | |
Ms. Deborah Davis Kilgo, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3302 Woodlands Pl, Vicksburg, MS 39180 Phone: 601-638-2771 | |
Mrs. Tracy Curtis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2100 Us 61, Vicksburg, MS 39183 Phone: 601-883-5000 |