| Jaclyn Untrecht, SLP | |
|
4635 N 14th St, Phoenix, AZ 85014-4016 | |
| (602) 264-9039 | |
| Not Available |
| Full Name | Jaclyn Untrecht |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4635 N 14th St, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720897721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP14577 (Arizona) | Primary |
| Provider Name | Phoenix Mountain Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053122689 PECOS PAC ID: 0648797944 Enrollment ID: O20250509001696 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Untrecht, SLP 4635 N 14th St, Phoenix, AZ 85014-4016 Ph: () - | Jaclyn Untrecht, SLP 4635 N 14th St, Phoenix, AZ 85014-4016 Ph: (602) 264-9039 |
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 | |
Amelia Liliana Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 E Grovers Ave, Phoenix, AZ 85032 Phone: 602-449-5200 | |
Kelsey Rae Benjaminson, SLPA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20033 N 19th Ave Ste 121, Phoenix, AZ 85027 Phone: 602-875-5616 Fax: 623-227-2030 |