| Jacqueline Kudary, MA, CCC-SLP | |
|
6741 Fulton St E Ste 201, Ada, MI 49301-9502 | |
| (616) 288-2210 | |
| Not Available |
| Full Name | Jacqueline Kudary |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6741 Fulton St E Ste 201, Ada, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285283119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Logan Community Resources Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891917449 PECOS PAC ID: 2961790126 Enrollment ID: O20161004002087 |
| 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 |
|---|---|
| Jacqueline Kudary, MA, CCC-SLP Po Box 412031, Boston, MA 02241-2031 Ph: () - | Jacqueline Kudary, MA, CCC-SLP 6741 Fulton St E Ste 201, Ada, MI 49301-9502 Ph: (616) 288-2210 |
Kelli Van Der Heide, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4670 Fulton St E Ste 201, Ada, MI 49301 Phone: 616-591-2905 | |
Mrs. Mary E Yost, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 Dogwood Meadows Dr Se, Ada, MI 49301 Phone: 616-682-1358 | |
Beth Pearce, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 572 Abbey Mill Dr Se, Ada, MI 49301 Phone: 616-975-0933 | |
Jill Nicole Miller, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4670 Fulton St E Ste 201, Ada, MI 49301 Phone: 616-591-2905 |