| Hayden Gandolfi, | |
|
2715 Lilac St, Longview, WA 98632-3526 | |
| (360) 575-7000 | |
| Not Available |
| Full Name | Hayden Gandolfi |
|---|---|
| Gender | Male |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 7 Years |
| Location | 2715 Lilac St, Longview, Washington |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720722218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101007378 (Michigan) | Primary |
| Provider Name | Ivyrehab Michigan LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Hayden Gandolfi, 27077 Dartmouth St, Madison Heights, MI 48071-3235 Ph: Not Available | Hayden Gandolfi, 2715 Lilac St, Longview, WA 98632-3526 Ph: (360) 575-7000 |
Hannah Margaret Catlin, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1015 Ocean Beach Hwy Ste 16, Longview, WA 98632 Phone: 360-501-3750 Fax: 360-501-3755 |
Dona Davis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1619 20th Ave Apt 8, Longview, WA 98632 Phone: 360-575-1017 |
Nancy Johnson, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 3rd Ave, Longview, WA 98632 Phone: 360-423-8800 Fax: 360-423-6850 |
Nancy Roseann D'urso, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2715 Lilac St, Longview, WA 98632 Phone: 360-575-7000 |
Joan Casciato Carpenter, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2715 Lilac St, Longview, WA 98632 Phone: 360-575-7000 |
Megan E Kern, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2745 38th Ave, Longview, WA 98632 Phone: 360-575-7581 |
Kristina Legate, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2820 Parkview Dr, Longview, WA 98632 Phone: 360-575-7471 |