| Sunflower Speech Therapy, Llc | |
|
45 N Whittaker Street, Suite 204, New Buffalo, MI 49117 | |
| (269) 235-9821 | |
| Not Available |
| Full Name | Sunflower Speech Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 45 N Whittaker Street, New Buffalo, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891313094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Nicole Ann Donnelly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770915431 PECOS PAC ID: 6406275924 Enrollment ID: I20201002001630 |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Speech Therapy, Llc 45 N Whittaker Street, Suite 204, New Buffalo, MI 49117 Ph: (269) 235-9821 | Sunflower Speech Therapy, Llc 45 N Whittaker Street, Suite 204, New Buffalo, MI 49117 Ph: (269) 235-9821 |
Emma Nicole Goodman, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 | |
Collin J Oswald, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 | |
Amelia Anne Danesi, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 Fax: 269-359-3735 | |
Allison Ann Dent, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 | |
Mrs. Melissa Ann Forker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 N. Whittaker St., Suite 204, New Buffalo, MI 49117 Phone: 269-235-9821 Fax: 269-586-2336 | |
Nicole Donnelly, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 Fax: 269-359-3735 | |
Breanne Blankenship, MA. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9083 Fax: 269-235-9821 |