| Wendy Yates, CCC-SLP | |
|
297 W Boyce St, Manning, SC 29102-3004 | |
| (803) 433-9001 | |
| (803) 433-9002 |
| Full Name | Wendy Yates |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 297 W Boyce St, Manning, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326423195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2715 (South Carolina) | Primary |
| Provider Name | Southern Lakes Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700212420 PECOS PAC ID: 3779711031 Enrollment ID: O20140113000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Yates, CCC-SLP 297 W Boyce St, Manning, SC 29102-3004 Ph: (803) 433-9001 | Wendy Yates, CCC-SLP 297 W Boyce St, Manning, SC 29102-3004 Ph: (803) 433-9001 |
Sara Welch, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2759 Raccoon Rd, Manning, SC 29102 Phone: 803-473-4744 | |
Mrs. Cecelia Thorne, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 297 W Boyce St, Manning, SC 29102 Phone: 803-433-9001 | |
Kimberly Lineberger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15 Major Dr, Manning, SC 29102 Phone: 803-435-4435 | |
Mrs. Melonie Dennis Layton, M.A. SLP, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1184 Perch Dr, Manning, SC 29102 Phone: 803-460-7985 | |
Maria Murphy, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 297 W Boyce St, Manning, SC 29102 Phone: 803-433-9001 Fax: 803-433-9001 |