Megan Israelsen, | |
356 N 300 W Apt 6, Logan, UT 84321-3855 | |
(303) 829-2796 | |
Not Available |
Full Name | Megan Israelsen |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 356 N 300 W Apt 6, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033693445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10950506-4104 (Utah) | Primary |
Provider Name | West Virginia University Medical Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
---|---|
Megan Israelsen, 356 N 300 W Apt 6, Logan, UT 84321-3855 Ph: (303) 829-2796 | Megan Israelsen, 356 N 300 W Apt 6, Logan, UT 84321-3855 Ph: (303) 829-2796 |
Ari Watt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1480 N 400 E, Logan, UT 84341 Phone: 435-750-5501 | |
Kathryn S Gantz, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Karlee Larsen Workman, MA, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 N 200 E, Logan, UT 84321 Phone: 801-367-8049 | |
Leigh Stott, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1000 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346 | |
Mikenzi Ford, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 E 1400 N, Logan, UT 84341 Phone: 435-716-1000 | |
Mr. Brian Dean Sater, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 225 N 200 W, Logan, UT 84321 Phone: 435-716-8535 |