Deborah J Wise, | |
35811 Road P.6, Mancos, CO 81328-8760 | |
(970) 394-0090 | |
Not Available |
Full Name | Deborah J Wise |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 35811 Road P.6, Mancos, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093289209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP.0004022 (Colorado) | Primary |
Provider Name | Lawrence Speech And Hearing Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174896872 PECOS PAC ID: 2365842614 Enrollment ID: O20210609000028 |
Mailing Address | Practice Location Address |
---|---|
Deborah J Wise, 35811 Road P.6, Mancos, CO 81328-8760 Ph: (970) 394-0090 | Deborah J Wise, 35811 Road P.6, Mancos, CO 81328-8760 Ph: (970) 394-0090 |
Bree Weinstein, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 211 E 3rd Ave, Mancos, CO 81328 Phone: 970-533-9031 | |
Dr. Christina Boover Lawrence, AU.D., CCC-A/SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 111 N Main St, Mancos, CO 81328 Phone: 970-459-1179 | |
Mr. Nicholas Fredrick Lawrence, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 515 Grand Ave, Ste E, Mancos, CO 81328 Phone: 970-459-1179 |