| Lifespan Speech And Swallowing Services | |
|
4820 W Taft Rd Ste 202, Liverpool, NY 13088 | |
| (315) 552-0406 | |
| (315) 634-6230 |
| Full Name | Lifespan Speech And Swallowing Services |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 4820 W Taft Rd Ste 202, Liverpool, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932798592 | NPI | - | NPPES |
| 06039550 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Steven Rossi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063664126 PECOS PAC ID: 8224182092 Enrollment ID: I20090812000784 |
| Provider Name | Chloe Grace Dow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023879509 PECOS PAC ID: 9335583764 Enrollment ID: I20240214000186 |
| Provider Name | Erika Wilsch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023838737 PECOS PAC ID: 0749713147 Enrollment ID: I20241023004004 |
| Provider Name | Leah Stagnitta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518374685 PECOS PAC ID: 8022543834 Enrollment ID: I20241203000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Speech And Swallowing Services 4820 W Taft Rd Ste 202, Liverpool, NY 13088-2806 Ph: (315) 552-0406 | Lifespan Speech And Swallowing Services 4820 W Taft Rd Ste 202, Liverpool, NY 13088 Ph: (315) 552-0406 |
Mrs. Nicole Lynn Goodeve, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5072 Constitution Ln, Liverpool, NY 13088 Phone: 315-299-5261 | |
Erika Wilsch, MS. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4820 W Taft Rd Ste 202, Liverpool, NY 13088 Phone: 315-552-0406 Fax: 315-634-6230 | |
Jenna Nicole Bardin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 115 Continuum Dr Ste A, Liverpool, NY 13088 Phone: 315-450-4898 | |
Dayanna Eunice Diaz, MS, CF-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 115 Continuum Dr Ste 1a, Liverpool, NY 13088 Phone: 315-450-4898 Fax: 315-449-9898 | |
Nicole Backes, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4768 Buckley Rd Apt 11, Liverpool, NY 13088 Phone: 315-560-7465 | |
Mrs. Cheryl Ann Rogers, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4233 Mayfair Cir, Liverpool, NY 13090 Phone: 315-652-0167 Fax: 315-652-5154 | |
Arooj Qumar, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 115 Continuum Dr Ste A, Liverpool, NY 13088 Phone: 315-450-4898 |