| Lisa Marie Coudrey, | |
|
63 W Main St, Gowanda, NY 14070-9998 | |
| (716) 698-2552 | |
| Not Available |
| Full Name | Lisa Marie Coudrey |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 63 W Main St, Gowanda, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861962060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 025621 (New York) | Primary |
| Provider Name | Milestone Speech Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285412536 PECOS PAC ID: 7911353107 Enrollment ID: O20231024002791 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Coudrey, 63 W Main St, Gowanda, NY 14070-9998 Ph: () - | Lisa Marie Coudrey, 63 W Main St, Gowanda, NY 14070-9998 Ph: (716) 698-2552 |
Mrs. Margaret Kota, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10674 Prospect St, Gowanda, NY 14070 Phone: 716-532-3325 | |
Mrs. Melanie Laurie Della Vella, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10674 Prospect St, Gowanda, NY 14070 Phone: 716-532-3325 | |
Milestone Speech Therapy Pllc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 26 W Main St, Gowanda, NY 14070 Phone: 716-698-2552 | |
Jessica Shean, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Miller St, Gowanda, NY 14070 Phone: 716-532-5700 | |
Jennifer Jane Lurz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3499 Foster Road, Gowanda, NY 14070 Phone: 716-532-2899 |