| Kira Enid Medina-tiencken, MS, CCC-SLP | |
|
31 Chestnut Ter, Bloomfield, NJ 07003-4408 | |
| (862) 812-1552 | |
| Not Available |
| Full Name | Kira Enid Medina-tiencken |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 31 Chestnut Ter, Bloomfield, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336631902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 41YS00796200 (New Jersey) | Primary |
| Provider Name | Expressable Therapy Of New Jersey Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811615685 PECOS PAC ID: 2062889512 Enrollment ID: O20221114000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Kira Enid Medina-tiencken, MS, CCC-SLP 31 Chestnut Ter, Bloomfield, NJ 07003-4408 Ph: (862) 812-1552 | Kira Enid Medina-tiencken, MS, CCC-SLP 31 Chestnut Ter, Bloomfield, NJ 07003-4408 Ph: (862) 812-1552 |
Tanvi Amin, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 20 Alexander Ave, Bloomfield, NJ 07003 Phone: 646-300-5689 | |
Jane E. Hodges, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40 Conger St Apt 1512b, Bloomfield, NJ 07003 Phone: 973-412-5313 | |
Miss Brittney Emaan Georges, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 Belleville Ave, Bloomfield, NJ 07003 Phone: 973-943-6862 | |
Cynthia Soder Harven, MA,CCC/SLP,ATS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51 Ernst Ave, Bloomfield, NJ 07003 Phone: 201-563-5891 Fax: 201-563-5891 | |
Chatty Sprouts Speech Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 Main Ter, Bloomfield, NJ 07003 Phone: 917-941-0918 | |
Ms. Kristin Mchugh, M.S., CCC/SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 38 Yantecaw Ave, Bloomfield, NJ 07003 Phone: 973-893-0193 | |
Kathleen Palatucci, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1515 Broad St Bldg B, Bloomfield, NJ 07003 Phone: 973-655-7364 |