| Speakeasy Therapy Services, Llc | |
|
7425 W Azure Dr Ste 140, Las Vegas, NV 89130-4425 | |
| (702) 515-4009 | |
| (702) 553-3438 |
| Full Name | Speakeasy Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 7425 W Azure Dr Ste 140, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114315801 | NPI | - | NPPES |
| Provider Name | Kelley R Carter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386806214 PECOS PAC ID: 6901163013 Enrollment ID: I20180530002625 |
| Provider Name | Nicholas A Druzinski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942757109 PECOS PAC ID: 5395090260 Enrollment ID: I20180618000863 |
| Provider Name | Devin L Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184289647 PECOS PAC ID: 3779816129 Enrollment ID: I20190618000462 |
| Provider Name | Luana C Cabrera |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134686660 PECOS PAC ID: 6002248135 Enrollment ID: I20191112000689 |
| Provider Name | Emily Garcia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063729044 PECOS PAC ID: 2769818368 Enrollment ID: I20200129003259 |
| Provider Name | Jameyan L Miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003254459 PECOS PAC ID: 8022435726 Enrollment ID: I20200824000557 |
| Provider Name | Madison C Luna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780205039 PECOS PAC ID: 5698193977 Enrollment ID: I20200918000731 |
| Provider Name | Doreen T Cariaga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962045211 PECOS PAC ID: 3870908411 Enrollment ID: I20210212001231 |
| Provider Name | Katherine Porter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518565530 PECOS PAC ID: 3375959323 Enrollment ID: I20210505002225 |
| Provider Name | Amy L Edgemon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528633591 PECOS PAC ID: 6103227970 Enrollment ID: I20210630002634 |
| Provider Name | Tia Grant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396492740 PECOS PAC ID: 1951772318 Enrollment ID: I20230122000045 |
| Provider Name | Heather M Urang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265157184 PECOS PAC ID: 6204291719 Enrollment ID: I20230504002101 |
| Provider Name | Janae J Austin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053730366 PECOS PAC ID: 6204291651 Enrollment ID: I20230508002110 |
| Provider Name | Megan E Gale |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598427510 PECOS PAC ID: 7517323918 Enrollment ID: I20230509002015 |
| Provider Name | Lia Agliam |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700583960 PECOS PAC ID: 5799142915 Enrollment ID: I20230602002588 |
| Provider Name | Alejandra Figueredo Sanz Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023718996 PECOS PAC ID: 4789041799 Enrollment ID: I20230607000777 |
| Provider Name | Patrice R Marshall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982102760 PECOS PAC ID: 2860851896 Enrollment ID: I20230707003296 |
| Provider Name | Carlota P Naughton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063107381 PECOS PAC ID: 0941660567 Enrollment ID: I20230714000433 |
| Provider Name | Aileen Cheong |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952099285 PECOS PAC ID: 5294275509 Enrollment ID: I20240912001981 |
| Provider Name | Cha-anya S Glover |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114614328 PECOS PAC ID: 4486186921 Enrollment ID: I20241022001998 |
| Provider Name | Emily Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891310173 PECOS PAC ID: 7315473014 Enrollment ID: I20241204003895 |
| Provider Name | Karina Magdangal |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639866858 PECOS PAC ID: 4486180197 Enrollment ID: I20241204004437 |
| Provider Name | Ana Vives |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467324715 PECOS PAC ID: 2567951064 Enrollment ID: I20251026000458 |
| Provider Name | Nerisse Cruzado |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639921828 PECOS PAC ID: 9032698592 Enrollment ID: I20260205002380 |
| Provider Name | Carrie R Rydstrom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750173886 PECOS PAC ID: 2365921756 Enrollment ID: I20260205003307 |
| Provider Name | Kyra Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598592792 PECOS PAC ID: 9032698428 Enrollment ID: I20260205003437 |
| Provider Name | Ayanna J Taitt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841027976 PECOS PAC ID: 8628557022 Enrollment ID: I20260205003602 |
| Provider Name | Lilli Ann E Wosk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841068418 PECOS PAC ID: 7315426715 Enrollment ID: I20260205003738 |
| Provider Name | Melissa Story |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407624851 PECOS PAC ID: 1759860158 Enrollment ID: I20260205003872 |
| Provider Name | Kelly V Danielson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265261218 PECOS PAC ID: 1759860059 Enrollment ID: I20260206003011 |
| Provider Name | Emily C. Murphy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184460875 PECOS PAC ID: 2961981279 Enrollment ID: I20260206003301 |
| Provider Name | Alissa Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689282303 PECOS PAC ID: 4284114794 Enrollment ID: I20260213003774 |
| Provider Name | Nicole Lewandowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487529988 PECOS PAC ID: 2365922895 Enrollment ID: I20260213004011 |
| Mailing Address | Practice Location Address |
|---|---|
| Speakeasy Therapy Services, Llc 2490 Paseo Verde Pkwy Ste 155, Henderson, NV 89074-7120 Ph: (702) 515-4009 | Speakeasy Therapy Services, Llc 7425 W Azure Dr Ste 140, Las Vegas, NV 89130-4425 Ph: (702) 515-4009 |
Crystal Lee Clover, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8540 S Eastern Ave, Suite 180, Las Vegas, NV 89123 Phone: 702-733-8255 Fax: 702-737-8255 |
Jameyan Miller, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 7312 W Cheyenne Ave, Suite 4, Las Vegas, NV 89129 Phone: 702-203-7504 |
Allie Christine Elwell, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1333 N Buffalo Dr Unit 260, Las Vegas, NV 89128 Phone: 702-979-4268 Fax: 702-979-4268 |
Amanda Ravenstad, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1161 S Valley View Blvd, Las Vegas, NV 89102 Phone: -- |
Ashlend Rodriguez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 11091 Kilkerran Ct, Las Vegas, NV 89141 Phone: 702-381-1839 |
Megan Best, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9121 W Russell Rd, Las Vegas, NV 89148 Phone: 702-499-6638 |
Jennie Lynn, M.A. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6152 Calm Breeze Ave, Unit 103, Las Vegas, NV 89108 Phone: 702-645-8243 |