| Elite Dysphagia Diagnostics & Speech Services, Llc | |
|
2137 William St, Cape Girardeau, MO 63703-5817 | |
| (573) 803-3338 | |
| (844) 579-0089 |
| Full Name | Elite Dysphagia Diagnostics & Speech Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2137 William St, Cape Girardeau, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184280729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Laura Mae Randen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730541996 PECOS PAC ID: 3072946219 Enrollment ID: I20191203000716 |
| Provider Name | Kate Elizabeth Easter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548928872 PECOS PAC ID: 9830589878 Enrollment ID: I20211206001088 |
| Provider Name | Ashton Eastin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225718174 PECOS PAC ID: 0143661264 Enrollment ID: I20240507003021 |
| Provider Name | Mikaela Pender |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053142521 PECOS PAC ID: 8729504402 Enrollment ID: I20250424003738 |
| Provider Name | Dana Ann Schonhoff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629174735 PECOS PAC ID: 6608395090 Enrollment ID: I20250529000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dysphagia Diagnostics & Speech Services, Llc 312 Stepping Stone Way, Cape Girardeau, MO 63701-8388 Ph: (573) 225-3639 | Elite Dysphagia Diagnostics & Speech Services, Llc 2137 William St, Cape Girardeau, MO 63703-5817 Ph: (573) 803-3338 |
Jackie A. Jones, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3433 Glenview Dr, Cape Girardeau, MO 63701 Phone: 573-335-8010 | |
Christina Bruenderman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1825 Margaret St, Cape Girardeau, MO 63701 Phone: 573-270-2791 | |
Rachel Hearnes August, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Grandview Dr, Cape Girardeau, MO 63701 Phone: 573-233-5481 | |
Audrey Farnham, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Whitener St, Cape Girardeau, MO 63701 Phone: 573-334-2923 | |
Mikaela Pender, MA CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2137 William St, Cape Girardeau, MO 63703 Phone: 573-803-3338 Fax: 844-579-0089 | |
Lauren Elizabeth Haney, MA, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 N Fountain St, Cape Girardeau, MO 63701 Phone: 573-986-4985 | |
Julie Spooler, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2561 Cobblestone Ct, Cape Girardeau, MO 63701 Phone: 573-335-9182 |