Marissa Taylor, | |
105 Harmon Hts, Stanford, KY 40484-1111 | |
(606) 365-2141 | |
Not Available |
Full Name | Marissa Taylor |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 105 Harmon Hts, Stanford, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801510193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Empowerme Rehabilitation Kentucky, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275166696 PECOS PAC ID: 1850729211 Enrollment ID: O20200402002590 |
Mailing Address | Practice Location Address |
---|---|
Marissa Taylor, 400 Southern Cross Dr Apt 11, Richmond, KY 40475-7041 Ph: (606) 794-2461 | Marissa Taylor, 105 Harmon Hts, Stanford, KY 40484-1111 Ph: (606) 365-2141 |
Raelyn Danielle Stevens, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Old Fort Rd, Stanford, KY 40484 Phone: 606-365-2191 | |
Abby Blanton, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 221 Orchard Dr, Stanford, KY 40484 Phone: 606-706-3546 | |
Mrs. Shelley Lynn Alford I, M.C.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 228 Grist Mill Rd., Stanford, KY 40484 Phone: 606-365-0549 |