| Blake Howard, | |
|
7901 S 6th St, Oak Creek, WI 53154-2010 | |
| (414) 346-8000 | |
| Not Available |
| Full Name | Blake Howard |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 7901 S 6th St, Oak Creek, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215762315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6757-154 (Wisconsin) | Primary |
| Provider Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Howard, 7901 S 6th St, Oak Creek, WI 53154-2010 Ph: (414) 346-8000 | Blake Howard, 7901 S 6th St, Oak Creek, WI 53154-2010 Ph: (414) 346-8000 |
Michelle Kondrat, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090 | |
Laura Whiteside, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090 | |
Nicole Marie Mcgillicuddy, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2700 W Honadel Blvd, Oak Creek, WI 53154 Phone: 414-435-2005 | |
Rachelle Verhulst, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave, Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090 | |
Chloe Elizabeth Nolan Shoup, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090 | |
Jenna Nicole Cooper, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590 | |
Robin K Hecox, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090 |