MEDICARE: MRS. ANSLEY MYRICK THOMAS CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP007540	GA

General Provider Information

NPI Number	:	1205288743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANSLEY MYRICK THOMAS CCC-SLP

Provider Business Mailing Address
First Line	:	1737 GRAND OAKS DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4863
Country	:	US
Telephone Number	:	404-402-2579
Fax Number	:

Provider Business Practice Location Address
First Line	:	1737 GRAND OAKS DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4863
Country	:	US
Telephone Number	:	404-402-2579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2016
Last Update Date	:	07/08/2016

Similar Medicare Providers

1023543279 — THOMAS SPEECH-LANGUAGE THERAPY, LLC
Practice Location Address:

1737 GRAND OAKS DR
WOODSTOCK, GA
30188-4863

Practice Phone: 404-402-2457
Practice Fax:

1386809838 — NURTURING CARE PROVIDERS INC.
Practice Location Address:

249 WOODSTOCK CT
ORMOND BEACH, FL
32174-4863

Practice Phone: 386-405-3553
Practice Fax: 386-676-9429

1902447972 — SARAH ELIZABETH MUNDY-RUSSELL MSN, APRN, PMHNP-BC
Practice Location Address:

245 WOODSTOCK CT
ORMOND BEACH, FL
32174-4863

Practice Phone: 386-235-9585
Practice Fax:

1700712908 — SUZONNE M FISH
Practice Location Address:

424 CREEKSTONE RDG
WOODSTOCK, GA
30188-3740

Practice Phone: 770-383-1215
Practice Fax:

1245311364 — DR. ANGELA M. HENDERSON D.C.
Practice Location Address:

4992 OLD HWY #5
WOODSTOCK, GA
30188

Practice Phone: 770-592-1986
Practice Fax:

1942835517 — ERIN SMITH LMSW
Practice Location Address:

3235 S CHEROKEE LN BLDG 1200
WOODSTOCK, GA
30188-4461

Practice Phone: 319-640-6475
Practice Fax:

Directions to “ MRS. ANSLEY MYRICK THOMAS CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.