| Elise Anne Raymond, | |
| 
					797 Old Preston Hwy N, Shepherdsville, KY 40165-9221  | |
| (502) 424-0826 | |
| Not Available | 
| Full Name | Elise Anne Raymond | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 797 Old Preston Hwy N, Shepherdsville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194597104 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 267906 (Kentucky) | Primary | 
| Provider Name | Aegis Group Practice Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1457847659 PECOS PAC ID: 5193036432 Enrollment ID: O20180322001337  | 
| Provider Name | Healthpro Heritage Rehab & Fitness Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1770054686 PECOS PAC ID: 6507832573 Enrollment ID: O20190211002009  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elise Anne Raymond, 531 W Woodlake Cir, Mount Washington, KY 40047-6186 Ph: (502) 424-0826  | Elise Anne Raymond, 797 Old Preston Hwy N, Shepherdsville, KY 40165-9221 Ph: (502) 424-0826  | 
Brooke Livers,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1707 Cedar Grove Rd, Shepherdsville, KY 40165 Phone: 502-633-1007 Fax: 502-805-1511  | |
Mrs. Carmen Elizabeth Krystofiak, MS SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1707 Cedar Grove Rd, Shepherdsville, KY 40165 Phone: 502-633-1007  | |
Mckenna Tucker, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1707 Cedar Grove Rd, Shepherdsville, KY 40165 Phone: 502-203-1354  | |
Hannah Parker Perdew, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1707 Cedar Grove Rd Ste 5-7, Shepherdsville, KY 40165 Phone: 502-203-1354  | |
Ms. Kimberly S Wooten, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 184 W Springmill Dr, Shepherdsville, KY 40165 Phone: 502-428-1781  | |
Ms. Elizabeth Quinn Pursell, MAT, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1707 Cedar Grove Rd Ste 5-7, Shepherdsville, KY 40165 Phone: 502-203-1354  |