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NPI Code Detail

MEDICARE: DRU A FILTER SPEECH

MEDICARE: DRU A FILTER SPEECH
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
1235Z00000XSpeech-Language Pathologist2951SC
2235Z00000XSpeech-Language Pathologist033612NY
3235Z00000XSpeech-Language Pathologist2202002892VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649291618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DRU A FILTER SPEECH
Provider Business Mailing Address
First Line : 255 ENTERPRISE BLVD STE 250
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3575
Country : US
Telephone Number : 864-454-0888
Fax Number : 864-454-1130
Provider Business Practice Location Address
First Line : 5301 PROVIDENCE RD STE 90
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-4128
Country : US
Telephone Number : 757-497-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 04/20/2026

Similar Medicare Providers

1982657433 — IVYREHAB SEPT, LLC
Practice Location Address:
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1265485726 — MR. RANDY EARL WANTTAJA M.A., C.C.C.-S.L.P.
Practice Location Address:
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1669426714 — MS. JENNIFER ROSE WATSON M.P.T.
Practice Location Address:
5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
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Practice Fax: 757-467-7900
1487608535 — MR. ERNEST PAUL RODRIGUEZ M.P.T.
Practice Location Address:
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1659325603 — MS. SUMMER T GARRISON M.P.T
Practice Location Address:
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1710931761 — MRS. ERIN ALLISON MAHONEY M.O.T.,O.T.R/L
Practice Location Address:
5301 PROVIDENCE RD , SUITE 80
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Practice Phone: 757-467-1900
Practice Fax: 757-467-7900

Directions to “ DRU A FILTER SPEECH” Practice Location

Language Start Address Practice Location
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