| Wanda Renee Smith, MA CCCSLP | |
|
1705 Country Garden Dr, Shelby, NC 28150-6162 | |
| (770) 330-7904 | |
| Not Available |
| Full Name | Wanda Renee Smith |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1705 Country Garden Dr, Shelby, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144392796 | NPI | - | NPPES |
| 840702411A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP003773 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 13318 (North Carolina) | Primary |
| Provider Name | Expressable Speech-language Pathology Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20220315000896 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Renee Smith, MA CCCSLP 1705 Country Garden Dr, Shelby, NC 28150-6162 Ph: (770) 330-7904 | Wanda Renee Smith, MA CCCSLP 1705 Country Garden Dr, Shelby, NC 28150-6162 Ph: (770) 330-7904 |
Michael Evans, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 N Morgan St, Shelby, NC 28150 Phone: 704-482-7326 | |
Beth Greene, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2604 Willow Brook Dr, Shelby, NC 28152 Phone: 704-862-8699 | |
Torie Lynn Kennelly, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1404 N Lafayette St, Shelby, NC 28150 Phone: 980-487-1500 | |
Ms. Shana Wood Carroll, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 270 Conifer Way, Shelby, NC 28150 Phone: 828-506-5701 | |
Jenny Marie Ethington, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 734 Cedar Hill Dr, Shelby, NC 28152 Phone: 704-692-6599 | |
Miss Terry Te, M. ED. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 227 Pinnacle Xing, Shelby, NC 28152 Phone: 678-964-6814 |