Fundamental Pediatric Therapy in Stonewall, LA

Fundamental Pediatric Therapy is a Speech-language Pathologist based in Stonewall, Louisiana. Fundamental Pediatric Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is 128 Diane Lane Suite 4, Stonewall, Louisiana. It can be reached at their office (for appointments etc.) via phone at (318) 564-2171.

NPI number for Fundamental Pediatric Therapy is 1962157719 and their current mailing address is 212 Panther Dr, Stonewall, Louisiana. Fundamental Pediatric Therapy does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1962157719.

Contact Information

	Fundamental Pediatric Therapy
	128 Diane Lane Suite 4, Stonewall, LA 71078-9421
	(318) 564-2171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fundamental Pediatric Therapy
Type	Facility
Speciality	Speech-language Pathologist
Location	128 Diane Lane Suite 4, Stonewall, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1962157719
Provider Enumeration Date: 02/18/2022
Last Update Date: 04/01/2022

Medical Identifiers

Medical identifiers for Fundamental Pediatric Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962157719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fundamental Pediatric Therapy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fundamental Pediatric Therapy 212 Panther Dr, Stonewall, LA 71078-9421 Ph: (318) 564-2171	Fundamental Pediatric Therapy 128 Diane Lane Suite 4, Stonewall, LA 71078-9421 Ph: (318) 564-2171

Reviews and Comments

Speech-Language Pathologist in Stonewall, LA

Katie Bamburg, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 834 Twin Oaks Rd, Stonewall, LA 71078 Phone: 318-990-0840
Michael Bagley Johnston, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 212 Panther Dr, Stonewall, LA 71078 Phone: 318-564-2171
Mrs. Riley Eason Mcdaniel, MA/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2535 Highway 171, Stonewall, LA 71078 Phone: 318-925-1610 Fax: 318-925-2970
Katherine Deporter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 128 Diane Lane, Suite 4, Stonewall, LA 71078 Phone: 219-771-6161

Fundamental Pediatric Therapy - Speech-Language Pathologist in Stonewall, LA