MRS. MYRA SELLERS


Address: 105 Cherrywood Dr, Nicholls, GA 31554-3505
Phone: 9126326685

MRS. MYRA SELLERS (NPI# 1922161033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922161033
Entity Type Individual
Full Name MRS. MYRA SELLERS
Credential CCC-SLP
Practice Address 105 Cherrywood Dr
Nicholls
GA 31554-3505
Practice Telephone 9126326685
Mailing Telephone 9126326685
Enumeration Date 2006-12-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SLP001931 GA Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 342670 05

Office Location

Street Address 105 CHERRYWOOD DR
City NICHOLLS
State GA
Zip Code 31554-3505

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1295095925 Crh Physician Practices LLC Clinic/Center 804 N Liberty St, Nicholls, GA 31554 2012-05-29
1083846554 Ashley Miller Dentist 1153 N Liberty St, Nicholls, GA 31554 2009-08-18
1508913278 Sheila Lynette Taylor Contractor 117 Aspen Road, Nicholls, GA 31554 2007-01-04
1457460198 Nicholls Pharmacy Pharmacist 1003 Van Streat Hwy, Nicholls, GA 31554 2006-08-29
1174639959 Brad M Mobley Pharmacist 1003 Van Streat Highway, Nicholls, GA 31554 2006-08-22
1558898882 Bacon County Health Services, Inc. General Acute Care Hospital 1205 Van Streat Hwy, Nicholls, GA 31554 2017-05-17
1760817795 Healthstat On-site Clinic/milliken Alma Preventive Medicine 2410 Ga Highway 32 W, Nicholls, GA 31554-3446 2013-09-10
1669418711 Nicholls Clinic Public Health or Welfare 806 N Liberty St, Nicholls, GA 31554-4006 2006-06-20
1831568724 Latasha Nicole Gilliard Nurse Practitioner 7171 Nails Rd, Nicholls, GA 31554-4613 2015-09-21
1285677872 Pamela C. Lee Nurse Practitioner 1205 Van Streat Hwy, Nicholls, GA 31554-5025 2006-06-13
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

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NPI Name Taxonomy Address Enumeration
1801496484 Tracey Samet Grant Speech-Language Pathologist 660 Glenairy Dr, Sandy Springs, GA 30328-4215 2020-10-31
1386242147 Busy Little Bee Speech Therapy Speech-Language Pathologist 2 Parmenter St, Cartersville, GA 30120-2569 2020-10-14
1033717749 Sullivan Mccallon Friedrich Speech-Language Pathologist 413 W Montgomery Cross Rd, Savannah, GA 31406-3364 2020-10-14
1235737313 Morgan Wojcik Speech-Language Pathologist 1777 N East Expy Ne Ste 120, Brookhaven, GA 30329-2475 2020-10-12
1699372953 Sarah Elise Vaughn Speech-Language Pathologist 925 Osburn Rd, Chickamauga, GA 30707-2847 2020-10-08
1871190561 Brian Tye Speech-Language Pathologist 1168 Chulio Rd Se, Rome, GA 30161-4084 2020-10-06
1538766761 Camille Steiden Speech-Language Pathologist 300 W Wieuca Rd Ne Ste 200, Atlanta, GA 30342-3352 2020-10-01
1689281032 Chit Chat Pediatric Therapy LLC Speech-Language Pathologist 97 Carter St, Soperton, GA 30457-2752 2020-09-29
1962019893 Miriam Beth Rosenberg Speech-Language Pathologist 3843 Sweet Magnolia Dr, Gainesville, GA 30504-5949 2020-09-24
1093320244 Brittany Jamison Speech-Language Pathologist 180 Horizon Drive, Dahlonega, GA 30533 2020-09-14
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Competitor

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City NICHOLLS
Zip Code 31554

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Dataset Information

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.

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