MEDICARE: MRS. MARY ALICE CHURCHILL MA 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	SA4257	FL

General Provider Information

NPI Number	:	1801198346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY ALICE CHURCHILL MA CCC-SLP

Provider Business Mailing Address
First Line	:	6952 SILVERADO TER
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7391
Country	:	US
Telephone Number	:	561-329-2012
Fax Number	:	561-963-9695

Provider Business Practice Location Address
First Line	:	6952 SILVERADO TER
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7391
Country	:	US
Telephone Number	:	561-329-2012
Fax Number	:	561-963-9695

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

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	12/02/2010

Similar Medicare Providers

1174479497 — ROSMI JOSEPH
Practice Location Address:

6781 TURTLE POINT DR
LAKE WORTH, FL
33467-7391

Practice Phone: 561-291-9505
Practice Fax:

1316893506 — BLOOM NUTRITIONAL SERVICES LLC
Practice Location Address:

6781 TURTLE POINT DR
LAKE WORTH, FL
33467-7391

Practice Phone: 561-291-9505
Practice Fax:

1417231341 — MRS. SHARON K ANGERER RN
Practice Location Address:

7391 W LAKE RD
FAIRVIEW, PA
16415-1401

Practice Phone: 814-474-3462
Practice Fax:

1255225819 — PAPER MOON COUNSELING
Practice Location Address:

11010 LAKE GROVE BLVD STE 100-232
MORRISVILLE, NC
27560-7391

Practice Phone: 919-378-0366
Practice Fax:

1295698819 — BRAINTREE PSYCHIATRY PLLC
Practice Location Address:

11010 LAKE GROVE BLVD STE 100-106
MORRISVILLE, NC
27560-7391

Practice Phone: 919-887-9317
Practice Fax: 919-289-1773

1245186204 — DR. ANGELIQUE ORIUS JOSEPH ARNP
Practice Location Address:

6949 BLUE SKIES DR
LAKE WORTH, FL
33463-7464

Practice Phone: 561-767-1329
Practice Fax:

Directions to “ MRS. MARY ALICE CHURCHILL MA 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.