| Cullen D O'connor, | |
|
3520 Heatherdowns Blvd Ste 10, Toledo, OH 43614-3668 | |
| (567) 218-0125 | |
| (567) 777-0213 |
| Full Name | Cullen D O'connor |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 3520 Heatherdowns Blvd Ste 10, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831718998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700451374 PECOS PAC ID: 5193036432 Enrollment ID: O20210624003291 |
| Mailing Address | Practice Location Address |
|---|---|
| Cullen D O'connor, 2348 Rockspring Rd, Toledo, OH 43614-1658 Ph: (419) 205-1055 | Cullen D O'connor, 3520 Heatherdowns Blvd Ste 10, Toledo, OH 43614-3668 Ph: (567) 218-0125 |
Beth Kanitz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3148 W Central Ave, Toledo, OH 43606 Phone: 419-241-6219 Fax: 419-241-5912 | |
Nancy Shollenberger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3450 W Central Ave Ste 336, Toledo, OH 43606 Phone: 419-536-4247 | |
Hillary Harbaugh, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2402 Cheltenham Rd, Toledo, OH 43606 Phone: 419-671-3700 Fax: 419-671-3745 | |
Michele Wilson, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3148 W Central Ave, Toledo, OH 43606 Phone: 419-241-6219 Fax: 419-241-5912 | |
Mrs. Sara Goodson, M.S. CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3450 W Central Ave, Toledo, OH 43606 Phone: 180-029-9115 | |
Alexis Mae Georgieff, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6049 Renaissance Pl Ste I, Toledo, OH 43623 Phone: 419-388-3523 Fax: 419-388-3523 | |
Theresa Herman, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3148 W Central Ave, Toledo, OH 43606 Phone: 419-241-6219 Fax: 419-241-5912 |