| Innovative Speech Therapy, Llc | |
|
2017 W Tallgrass Trl, Phoenix, AZ 85085-2795 | |
| (602) 703-0613 | |
| Not Available |
| Full Name | Innovative Speech Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2017 W Tallgrass Trl, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821251810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP4771 (Arizona) | Primary |
| Provider Name | Angela N Heaton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588746614 PECOS PAC ID: 2860824331 Enrollment ID: I20191121001882 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Speech Therapy, Llc 2017 W Tallgrass Trl, Phoenix, AZ 85085-2795 Ph: (602) 703-0613 | Innovative Speech Therapy, Llc 2017 W Tallgrass Trl, Phoenix, AZ 85085-2795 Ph: (602) 703-0613 |
Monica Fales, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1817 N 7th St, Phoenix, AZ 85006 Phone: 602-257-3755 |
Susan E Krantz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20402 N 15th Ave, Phoenix, AZ 85027 Phone: 623-445-4952 Fax: 623-445-5079 |
Rebecca Mathews, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 E Muriel Dr, Phoenix, AZ 85022 Phone: 602-350-1145 |
Berit Bilquist, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-368-8601 |
Miss Katheryn Reifer, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4417 N 66th Ave, Phoenix, AZ 85033 Phone: 623-691-2548 |
Ms. Alexis Marie Dallacroce, BS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4350 E Ray Rd Bldg 1, Phoenix, AZ 85044 Phone: 480-704-5954 |
Amelia Liliana Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 E Grovers Ave, Phoenix, AZ 85032 Phone: 602-449-5200 |