| Upsurge Therapy Services | |
|
1603 Adirondac Way, Bonaire, GA 31005-5615 | |
| (229) 630-4445 | |
| Not Available |
| Full Name | Upsurge Therapy Services |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1603 Adirondac Way, Bonaire, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194439414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Stephanie Black |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659707990 PECOS PAC ID: 9537507082 Enrollment ID: I20240403003371 |
| Mailing Address | Practice Location Address |
|---|---|
| Upsurge Therapy Services 1603 Adirondac Way, Bonaire, GA 31005-5615 Ph: (229) 630-4445 | Upsurge Therapy Services 1603 Adirondac Way, Bonaire, GA 31005-5615 Ph: (229) 630-4445 |
Speak Easy Speech & Language Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Chilton Pl Ste B, Bonaire, GA 31005 Phone: 478-320-3717 | |
Ms. Debra Eunette Johnson, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 213 Crakston Ct, Bonaire, GA 31005 Phone: 478-997-1979 |