| Speech Therapy Group, Llc. | |
|
100 Cummings Ctr, Suite 135h, Beverly, MA 01915-6115 | |
| (978) 927-0172 | |
| Not Available |
| Full Name | Speech Therapy Group, Llc. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 100 Cummings Ctr, Beverly, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447289103 | NPI | - | NPPES |
| SP0110 | Other | MA | BLUE CROSS PROVIDER |
| 610987 | Other | MA | TUFTS PROVIDER |
| 9739220 | Medicaid | MA | |
| AA23990 | Other | MA | HARVARD PILGRIM PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| Provider Name | Melanie Giles |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942368337 PECOS PAC ID: 6002828381 Enrollment ID: I20071227000205 |
| Provider Name | Samantha Wallace |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962815431 PECOS PAC ID: 8921226127 Enrollment ID: I20140901000036 |
| Provider Name | Mary Barker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689739252 PECOS PAC ID: 4789774076 Enrollment ID: I20150311000536 |
| Provider Name | Emily Exilus |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417318098 PECOS PAC ID: 8123396801 Enrollment ID: I20170621002205 |
| Provider Name | Abigail Oveis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043733074 PECOS PAC ID: 7719250810 Enrollment ID: I20170913000018 |
| Provider Name | Bethany Christina Jorgensen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770135980 PECOS PAC ID: 1850627977 Enrollment ID: I20190729000048 |
| Provider Name | Bridget Jean Cronin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871112136 PECOS PAC ID: 6608298153 Enrollment ID: I20200630000331 |
| Provider Name | Kelly Sullivan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699375899 PECOS PAC ID: 5799196259 Enrollment ID: I20201204002036 |
| Provider Name | Kimberly Murphy Pegg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790383859 PECOS PAC ID: 1153712393 Enrollment ID: I20211227000399 |
| Provider Name | Sarah Cuffe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689248577 PECOS PAC ID: 3870970460 Enrollment ID: I20220520000687 |
| Provider Name | Kayla Droogan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184276644 PECOS PAC ID: 0446626303 Enrollment ID: I20221018000333 |
| Provider Name | Meghan Ward |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043052798 PECOS PAC ID: 9830635507 Enrollment ID: I20240718003033 |
| Provider Name | Caroline Elizabeth Raymond |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447092176 PECOS PAC ID: 6305382797 Enrollment ID: I20240722002626 |
| Provider Name | Danielle Jasper |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881490126 PECOS PAC ID: 5799201786 Enrollment ID: I20250502001374 |
| Provider Name | Johanna Aylward |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033915053 PECOS PAC ID: 5395262430 Enrollment ID: I20250512002272 |
| Provider Name | David Furtado |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346046356 PECOS PAC ID: 0446778567 Enrollment ID: I20250513001373 |
| Provider Name | Alex Houlden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639975634 PECOS PAC ID: 8921527458 Enrollment ID: I20250528001050 |
| Provider Name | Mithra Ten Brink |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801778444 PECOS PAC ID: 5991209553 Enrollment ID: I20250917001250 |
| Provider Name | Natalie Spitalnic |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124909635 PECOS PAC ID: 5294227609 Enrollment ID: I20251124001217 |
| Provider Name | Jake Apitz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225909039 PECOS PAC ID: 3173016946 Enrollment ID: I20251202000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Therapy Group, Llc. 100 Cummings Ctr, Suite 135h, Beverly, MA 01915-6115 Ph: (978) 927-0172 | Speech Therapy Group, Llc. 100 Cummings Ctr, Suite 135h, Beverly, MA 01915-6115 Ph: (978) 927-0172 |
Jamie Selvidio, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr, Suite 135h, Beverly, MA 01915 Phone: 978-927-0172 Fax: 978-927-0179 |
Vanessa M Athanas, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr Ste 350g, Beverly, MA 01915 Phone: 978-712-0003 |
Johanna Aylward, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 100 Cummings Ctr Ste 135h, Beverly, MA 01915 Phone: 978-927-0172 Fax: 978-927-0179 |
Meghan Ward, MS SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 100 Cummings Ctr Ste 135h, Beverly, MA 01915 Phone: 978-927-0172 |
Linda K Murphy, M.S., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 53 Dane St, Beverly, MA 01915 Phone: 617-930-3735 Fax: 617-273-0814 |
Mrs. Candis Ann Bolden, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Dodge St, Beverly, MA 01915 Phone: 978-921-1182 |
Alaina Jayne Martens, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr Ste 350g, Beverly, MA 01915 Phone: 978-712-0003 |