| Chitter Chatter P.c. | |
|
23663 Park St Dearborn MI 48124-2547 | |
| (313) 689-5188 | |
| (866) 861-5188 |
| Full Name | Chitter Chatter P.c. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 23663 Park St, Dearborn, Michigan |
| Authorized Official Name and Position | Jacqueline Jaber (CEO) |
| Authorized Official Contact | 9175352525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chitter Chatter P.c. 23663 Park St Dearborn MI 48124-2547 Ph: () - | Chitter Chatter P.c. 23663 Park St Dearborn MI 48124-2547 Ph: (313) 689-5188 |
| NPI Number | 1609135748 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Medicare PECOS PAC ID | 0547549909 |
|---|---|
| Medicare Enrollment ID | O20161117000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609135748 | NPI | - | NPPES |
| Provider Name | Lexi Drake |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184363814 PECOS PAC ID: 3173971256 Enrollment ID: I20231130000226 |
| Provider Name | Ludy Deridder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275240186 PECOS PAC ID: 2466980750 Enrollment ID: I20250114003973 |
| Provider Name | Mary Sinkovich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295459220 PECOS PAC ID: 2264962299 Enrollment ID: I20250206000984 |
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