| Jillian Andrysiak, MS, CCC-SLP | |
|
202 W Shiawassee Ave # 114, Fenton, MI 48430-2093 | |
| (248) 780-9030 | |
| Not Available |
| Full Name | Jillian Andrysiak |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 202 W Shiawassee Ave # 114, Fenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205687704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101008856 (Michigan) | Primary |
| Provider Name | Oxford Recovery Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073780573 PECOS PAC ID: 2466702717 Enrollment ID: O20180906002363 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Andrysiak, MS, CCC-SLP 202 W Shiawassee Ave # 114, Fenton, MI 48430-2093 Ph: (248) 780-9030 | Jillian Andrysiak, MS, CCC-SLP 202 W Shiawassee Ave # 114, Fenton, MI 48430-2093 Ph: (248) 780-9030 |
Rachael Madison Iaquinto, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10498 Carmer Rd, Fenton, MI 48430 Phone: 248-202-9061 | |
Emily Clare Bush, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Edgewood Pass, Fenton, MI 48430 Phone: 248-421-0311 | |
Elyse Lamphier, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 202 W Shiawassee Ave, Fenton, MI 48430 Phone: 810-373-9507 | |
Ashley Tibbs, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 202 W Shiawassee Ave Ste 114, Fenton, MI 48430 Phone: 248-780-9030 | |
Kari Elizabeth Parnell, M.A. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 N River St, Fenton, MI 48430 Phone: 248-736-9489 | |
Allison Panik, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 265 N Alloy Dr, Fenton, MI 48430 Phone: 810-373-9507 |