| Danae Stidham, | |
|
2615 E Randolph Ave, Enid, OK 73701-4670 | |
| (580) 234-3734 | |
| Not Available |
| Full Name | Danae Stidham |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2615 E Randolph Ave, Enid, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801605589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6591 (Oklahoma) | Primary |
| Provider Name | Empowerme Rehabilitation Oklahoma Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023514247 PECOS PAC ID: 5496088296 Enrollment ID: O20190611000701 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366024077 PECOS PAC ID: 9830504836 Enrollment ID: O20210723000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Danae Stidham, 402 Garfield St, Lahoma, OK 73754-1039 Ph: (580) 554-1425 | Danae Stidham, 2615 E Randolph Ave, Enid, OK 73701-4670 Ph: (580) 234-3734 |
Emily E Buller, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-3554 | |
Sarah White, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 305 S 5th St, Enid, OK 73701 Phone: 580-233-6100 | |
Paula J Weaver, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-3554 | |
Lori Ann Tydings, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2102 Beverly Dr, Enid, OK 73703 Phone: 580-366-7650 | |
Nicole Celeste Fogtman, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 412-420-7164 Fax: 580-234-2615 | |
Jessica L Lathem, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-2615 | |
Alissa Anne Braziel, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 305 S 5th St, Rehabcare At St. Mary's Regional Medical Ctr, Enid, OK 73701 Phone: 580-548-5075 |