| Lizabeth A Devereux, | |
|
1020 Buddy Holly Pl, Clear Lake, IA 50428-3735 | |
| (952) 767-4200 | |
| Not Available |
| Full Name | Lizabeth A Devereux |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1020 Buddy Holly Pl, Clear Lake, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174261473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Autism Opportunities Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447348172 PECOS PAC ID: 1153649009 Enrollment ID: O20150406001591 |
| Mailing Address | Practice Location Address |
|---|---|
| Lizabeth A Devereux, 106 3rd Ave Ne, Waukon, IA 52172-1322 Ph: (563) 568-8663 | Lizabeth A Devereux, 1020 Buddy Holly Pl, Clear Lake, IA 50428-3735 Ph: (952) 767-4200 |
Mrs. Brittney Jacobson, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 509 Buddy Holly Place, Clear Lake, IA 50428 Phone: 641-357-5056 | |
Megan Moore, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 27th Ave S, Clear Lake, IA 50428 Phone: 641-357-7083 | |
Mrs. Jeanette Messer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 509 Buddy Holly Pl, Clear Lake, IA 50428 Phone: 641-357-5056 | |
Ms. Connie Jeane Scherber, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3512 N Shore Dr, Clear Lake, IA 50428 Phone: 641-357-3195 |