MISS ANGELA TENNILLE MYRICK (NPI# 1144631219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144631219 |
| Entity Type | Individual |
| Full Name | MISS ANGELA TENNILLE MYRICK |
| Credential | M.S., CCC-SLP |
| Practice Address |
405 Philip Blvd Apt 914 Lawrenceville GA 30046-8758 |
| Mailing Address |
545 Old Norcross Rd Suite 100 Lawrenceville GA 30046-3389 |
| Practice Telephone | 7708412918 |
| Mailing Telephone | 6783772833 |
| Mailing Fax Number | 6783772882 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP008109 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003378100 | Angela Nicole Myrick | Peer Specialist | 1117 Euclid Ave, Lorain, OH 44052-2703 | 2019-04-05 |
| Street Address |
405 PHILIP BLVD APT 914 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568272 | Ivonne Marie Maldonado De La Rosa | Speech-Language Pathologist | 802 Veranda Chase Dr, Lawrenceville, GA 30044-7164 | 2020-05-01 |
| 1831746072 | Marcia Nicole Dixon | Speech-Language Pathologist | 930 New Hope Rd Ste 12, Lawrenceville, GA 30045-3837 | 2019-08-22 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1922508050 | Ebony L. Jasper | Speech-Language Pathologist | 1432 Penhurst Dr, Lawrenceville, GA 30043-8165 | 2018-02-15 |
| 1700392230 | Shelby L Newton | Speech-Language Pathologist | 1900 Cedar St, Lawrenceville, IL 62439-2156 | 2017-12-20 |
| 1598275083 | Ashley Thompson | Speech-Language Pathologist | 250 Langley Dr Ste 1108, Lawrenceville, GA 30046-6932 | 2017-10-10 |
| 1194266411 | Shyla Miller | Speech-Language Pathologist | 578 Hardy Water Dr, Lawrenceville, GA 30045-2257 | 2017-03-20 |
| 1871030494 | Sandra Cook-anderson | Speech-Language Pathologist | 104 Point Ct, Lawrenceville, NJ 08648-2861 | 2017-01-20 |
| 1720438427 | Benjamin Whitney Shelburn | Speech-Language Pathologist | 828 Villa Ridge Pkwy, Lawrenceville, GA 30044-2314 | 2016-06-14 |
| 1932575669 | Julia Nieten-norman | Speech-Language Pathologist | 1152 Chadwick Lake Dr, Lawrenceville, GA 30043-7024 | 2015-08-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on MISS ANGELA TENNILLE MYRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.