| Marissa Taylor, | |
|
105 Harmon Hts, Stanford, KY 40484-1111 | |
| (606) 365-2141 | |
| Not Available |
| Full Name | Marissa Taylor |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 105 Harmon Hts, Stanford, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801510193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Empowerme Rehabilitation Kentucky, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275166696 PECOS PAC ID: 1850729211 Enrollment ID: O20200402002590 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Taylor, 400 Southern Cross Dr Apt 11, Richmond, KY 40475-7041 Ph: (606) 794-2461 | Marissa Taylor, 105 Harmon Hts, Stanford, KY 40484-1111 Ph: (606) 365-2141 |
Raelyn Danielle Stevens, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Old Fort Rd, Stanford, KY 40484 Phone: 606-365-2191 | |
Abby Blanton, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 221 Orchard Dr, Stanford, KY 40484 Phone: 606-706-3546 | |
Mrs. Shelley Lynn Alford I, M.C.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 228 Grist Mill Rd., Stanford, KY 40484 Phone: 606-365-0549 |