| Mary Lee, MS, CCC-SLP | |
|
1276 S Main St, Cave Springs, AR 72718 | |
| (479) 245-3515 | |
| Not Available |
| Full Name | Mary Lee |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1276 S Main St, Cave Springs, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114448065 | NPI | - | NPPES |
| 228589721 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Arkansas) | Primary |
| Provider Name | Pathfinder, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326004466 PECOS PAC ID: 8628061801 Enrollment ID: O20090306000376 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lee, MS, CCC-SLP 21924 W Highway 62, Lincoln, AR 72744-9554 Ph: (479) 463-0263 | Mary Lee, MS, CCC-SLP 1276 S Main St, Cave Springs, AR 72718 Ph: (479) 245-3515 |
Ashley Elizabeth Nixon, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1095 E Lowell Ave, Cave Springs, AR 72718 Phone: 469-260-9076 | |
Amanda Capps, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 516 E Lowell Ave, Cave Springs, AR 72718 Phone: 479-631-7678 | |
Kelly Ann Long, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 5710 S 66th St, Cave Springs, AR 72718 Phone: 479-601-3537 |