| Legacy Speech Solutions | |
|
10424 N Imo Rd, Enid, OK 73703-2105 | |
| (580) 747-1406 | |
| Not Available |
| Full Name | Legacy Speech Solutions |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 10424 N Imo Rd, Enid, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932836152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Robin Brittney Buller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972619963 PECOS PAC ID: 3274902093 Enrollment ID: I20221216001423 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Speech Solutions 10424 N Imo Rd, Enid, OK 73703-2105 Ph: (580) 747-1406 | Legacy Speech Solutions 10424 N Imo Rd, Enid, OK 73703-2105 Ph: (580) 747-1406 |
Emily E Buller, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-3554 | |
Sarah White, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 305 S 5th St, Enid, OK 73701 Phone: 580-233-6100 | |
Paula J Weaver, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-3554 | |
Lori Ann Tydings, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2102 Beverly Dr, Enid, OK 73703 Phone: 580-366-7650 | |
Nicole Celeste Fogtman, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 412-420-7164 Fax: 580-234-2615 | |
Jessica L Lathem, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-2615 | |
Alissa Anne Braziel, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 305 S 5th St, Rehabcare At St. Mary's Regional Medical Ctr, Enid, OK 73701 Phone: 580-548-5075 |