| Innovative Speech & Swallowing Partners Llc | |
|
11330 Cleveland Ave Nw Uniontown OH 44685-8078 | |
| (330) 595-9059 | |
| Not Available |
| Full Name | Innovative Speech & Swallowing Partners Llc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 11330 Cleveland Ave Nw, Uniontown, Ohio |
| Authorized Official Name and Position | Katijo Makin (OWNER/THERAPIST) |
| Authorized Official Contact | 3305959059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Speech & Swallowing Partners Llc 11330 Cleveland Ave Nw Uniontown OH 44685-8078 Ph: (330) 595-9059 | Innovative Speech & Swallowing Partners Llc 11330 Cleveland Ave Nw Uniontown OH 44685-8078 Ph: (330) 595-9059 |
| NPI Number | 1588027866 |
|---|---|
| Provider Enumeration Date | 04/03/2016 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 4183913999 |
|---|---|
| Medicare Enrollment ID | O20160518001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588027866 | NPI | - | NPPES |
| Provider Name | Katijo Makin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538535349 PECOS PAC ID: 5092004804 Enrollment ID: I20160518001756 |
| Provider Name | Bethany J Kessel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235549817 PECOS PAC ID: 2466701537 Enrollment ID: I20180822002689 |
| Provider Name | Amanda K Kim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669956330 PECOS PAC ID: 8820332976 Enrollment ID: I20181130001787 |
| Provider Name | Kimberly N Adelman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093377459 PECOS PAC ID: 8123356821 Enrollment ID: I20190819004056 |
| Provider Name | Mallory R. Harris |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669616660 PECOS PAC ID: 6800280868 Enrollment ID: I20240227002484 |
| Provider Name | Amanda Rearick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831557719 PECOS PAC ID: 5799120382 Enrollment ID: I20240305003817 |
| Provider Name | Elizabeth Coffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104120211 PECOS PAC ID: 5294171476 Enrollment ID: I20240311000741 |
| Provider Name | Kiersten Leeann Owens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376320127 PECOS PAC ID: 3173969391 Enrollment ID: I20240311002476 |
| Provider Name | Mary Gray |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1326449406 PECOS PAC ID: 3779920210 Enrollment ID: I20240320001679 |
| Provider Name | Makenna Ellen Opeka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629593207 PECOS PAC ID: 8820528185 Enrollment ID: I20250217000583 |
| Provider Name | Isabella Fischer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851160626 PECOS PAC ID: 9537682133 Enrollment ID: I20250324003597 |
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