| Theratree Slp, Llc | |
|
318 W Coates St Ste 103, Moberly, MO 65270-1598 | |
| (417) 321-1905 | |
| Not Available |
| Full Name | Theratree Slp, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 318 W Coates St Ste 103, Moberly, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255169892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Anna Victoria Love Crusha |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316186778 PECOS PAC ID: 8527507573 Enrollment ID: I20240822002588 |
| Provider Name | Ashley Christine Black |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841074549 PECOS PAC ID: 1759820723 Enrollment ID: I20240822002665 |
| Mailing Address | Practice Location Address |
|---|---|
| Theratree Slp, Llc 20127 Monroe Road 445, Paris, MO 65275-2377 Ph: (417) 321-1905 | Theratree Slp, Llc 318 W Coates St Ste 103, Moberly, MO 65270-1598 Ph: (417) 321-1905 |
Mrs. Jolynn C Johnson, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 E Urbandale Dr, Moberly, MO 65270 Phone: 660-651-7297 | |
Helen Marie Burroughs, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 S 4th St, Moberly, MO 65270 Phone: 660-269-2640 | |
Mr. Jesse Laurence Bohlmeyer, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1346 S Morley, Moberly, MO 65270 Phone: 660-263-5488 Fax: 660-263-5750 | |
Krista Leigh Rice, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1346 S Morley, Moberly, MO 65270 Phone: 660-263-5488 Fax: 660-263-5750 | |
Ms. Sheila J Rusher, MHS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 926 Kwix Rd, Moberly Public Schools, Moberly, MO 65270 Phone: 660-269-2690 Fax: 600-269-2611 | |
Marla Sue Jeffries, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 926 Kwix Rd, Moberly, MO 65270 Phone: 660-269-2690 |