| Amanda J Redeker, | |
|
701 E Main St, Hart, MI 49420-1168 | |
| (231) 873-6600 | |
| Not Available |
| Full Name | Amanda J Redeker |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 701 E Main St, Hart, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326710195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7152000182 (Michigan) | Primary |
| Provider Name | Duncan Lake Speech Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376195925 PECOS PAC ID: 6305258203 Enrollment ID: O20201217002575 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Redeker, 701 E Main St, Hart, MI 49420-1168 Ph: () - | Amanda J Redeker, 701 E Main St, Hart, MI 49420-1168 Ph: (231) 873-6600 |
Marissa Royce, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Hart, MI 49420 Phone: 231-873-6026 | |
Tina Hodges, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 East Main, Hart, MI 49420 Phone: 231-873-2148 | |
Rachelle Ledger, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 | |
Kimberly Papes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 | |
Elizabeth Turner, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 | |
Kate Frances Nordlund, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 |