| Jessica Gaytan, MS SLP | |
| 
					1651 E Nickerson Ave, Benton Harbor, MI 49022-2469  | |
| (269) 876-5697 | |
| Not Available | 
| Full Name | Jessica Gaytan | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 1651 E Nickerson Ave, Benton Harbor, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144831009 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101007514 (Michigan) | Primary | 
| Provider Name | Sunflower Therapy Centers Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1952099715 PECOS PAC ID: 4789040510 Enrollment ID: O20230519001376  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Gaytan, MS SLP 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469 Ph: (269) 876-5697  | Jessica Gaytan, MS SLP 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469 Ph: (269) 876-5697  | 
Kinsey Harrison, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-983-5833  | |
Anna Patricia Livingston,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-983-5833  | |
Christopher Lee Smith,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-876-5697  | |
Rachelle Dodge,  Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-876-5697 Fax: 269-359-3730  | |
Kathryn Vandermolen,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-983-5833 Fax: 269-363-4630  | |
Mckenzie Knight, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-876-5697 Fax: 269-359-3730  |