| Jeter Therapy Group | |
|
1950 E 70th St Ste A, Shreveport, LA 71105-5345 | |
| (318) 219-6064 | |
| (318) 225-7928 |
| Full Name | Jeter Therapy Group |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1950 E 70th St Ste A, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851924237 | NPI | - | NPPES |
| 6710 | Other | LA | LICENSE |
| 6710 | Other | LA | LA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Primary |
| Provider Name | Dana Rene Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508295379 PECOS PAC ID: 3476981242 Enrollment ID: I20200311000206 |
| Provider Name | Taylor Ashton Swinford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508240136 PECOS PAC ID: 9436539269 Enrollment ID: I20220711000628 |
| Provider Name | Suzanne Elizabeth Olah |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326026691 PECOS PAC ID: 2365886405 Enrollment ID: I20240216003064 |
| Provider Name | Sarah Irwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427874445 PECOS PAC ID: 3274010319 Enrollment ID: I20260121000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeter Therapy Group 1950 E 70th St Ste A, Shreveport, LA 71105-5345 Ph: (318) 219-6064 | Jeter Therapy Group 1950 E 70th St Ste A, Shreveport, LA 71105-5345 Ph: (318) 219-6064 |
Elinor Dorsey Baker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2226 Murphy St, Shreveport, LA 71103 Phone: 985-630-4052 |
Elizabeth Schafehen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Buckner St Ste C249, Shreveport, LA 71101 Phone: 318-934-1969 Fax: 318-934-1960 |
Mrs. Susan Elizabeth Zavalydriga, MA, CCC-SP. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 N Dresden Cir, Shreveport, LA 71115 Phone: 318-798-3925 |
Sara Kate Warren, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2522 E 70th St., Shreveport, LA 71105 Phone: 318-795-3388 |
Joan Williams, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5609 Cross Timbers Dr, Shreveport, LA 71129 Phone: 318-670-9710 Fax: 318-227-9142 |
Mrs. Kelsey Bazzell Rowell, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7709 Tampa Way, Shreveport, LA 71105 Phone: 318-415-9298 |
Mary Elizabeth Howerton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1950 E 70th St Ste A, Shreveport, LA 71105 Phone: 318-219-6064 |