| Erica Porter, | |
|
400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | |
| (313) 207-3038 | |
| Not Available |
| Full Name | Erica Porter |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 400 Renaissance Ctr Ste 2600, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780133967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101009099 (Michigan) | Primary |
| Provider Name | Issa Speech Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770255382 PECOS PAC ID: 6507309325 Enrollment ID: O20240621001393 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Porter, 7108 S Kanner Hwy, Stuart, FL 34997-7462 Ph: () - | Erica Porter, 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 Ph: (313) 207-3038 |
Samantha Lichocki, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5447 Woodward Ave, Detroit, MI 48202 Phone: 313-832-1100 | |
Ms. Melissa Danielle Ardery, M.A. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5447 Woodward Ave, Detroit, MI 48202 Phone: 313-832-1100 | |
Ms. Jillian Beth Chambers, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000 | |
Jordan Charrette, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2990 | |
Mrs. Aaron Delaine Hardy-smith, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16811 Rosemont Ave, Detroit, MI 48219 Phone: 313-595-2649 | |
Patricia Colleen Monahan Ramberger, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5447 Woodward Ave, Detroit, MI 48202 Phone: 313-832-1100 | |
Deaf,hearing, And Sign Language Center Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19185 Wyoming St, Detroit, MI 48221 Phone: 313-341-1353 Fax: 313-341-4091 |