| Maria Smith, | |
|
1515 Cottage Grove Ave, Kirksville, MO 63501-3979 | |
| (660) 665-3793 | |
| Not Available |
| Full Name | Maria Smith |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1515 Cottage Grove Ave, Kirksville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578925988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3145 (Kansas) | Primary |
| Provider Name | Childrens Illinois Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073283198 PECOS PAC ID: 9830587237 Enrollment ID: O20211103001682 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Smith, 1515 Cottage Grove Ave, Kirksville, MO 63501-3979 Ph: () - | Maria Smith, 1515 Cottage Grove Ave, Kirksville, MO 63501-3979 Ph: (660) 665-3793 |
Sara Hines, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1901 E Hamilton St, Kirksville, MO 63501 Phone: 660-665-2834 | |
Kelsey Aurand De Razo, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 203 Park Plz, Kirksville, MO 63501 Phone: 660-785-0500 | |
Deborah Diane Gering, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1901 E Hamilton St, Kirksville, MO 63501 Phone: 660-665-7774 Fax: 660-665-3281 | |
Ms. Robin Mayer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1901 E Hamilton St, Kirksville, MO 63501 Phone: 660-626-1400 Fax: 660-665-3281 | |
Dr. Judy Helen Johnson, PH.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1304 Cottage Lane Ave, Kirksville, MO 63501 Phone: 708-710-0310 | |
Jennifer Hamilton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1901 E Hamilton St, Kirksville, MO 63501 Phone: 660-665-7774 Fax: 660-665-3281 | |
Mrs. Patricia Lynne Hanson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1901 E Hamilton St, Kirksville, MO 63501 Phone: 660-626-1400 Fax: 660-665-3281 |