| Melissa Kucyk, | |
|
979 Weston St, Pea Ridge, AR 72751-2628 | |
| (800) 451-0032 | |
| Not Available |
| Full Name | Melissa Kucyk |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 979 Weston St, Pea Ridge, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417437385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 200203 (Arkansas) | Primary |
| Provider Name | Wolf Wellness Center Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588037196 PECOS PAC ID: 5395048136 Enrollment ID: O20160128000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Kucyk, 811 Sw 3rd St, Bentonville, AR 72712-5768 Ph: (618) 303-7136 | Melissa Kucyk, 979 Weston St, Pea Ridge, AR 72751-2628 Ph: (800) 451-0032 |
Allison Overbay, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 827 Slack St, Pea Ridge, AR 72751 Phone: 479-451-9434 | |
Alexys Joann Lipscomb, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 979 Weston St, Pea Ridge, AR 72751 Phone: 800-451-0032 | |
Tabitha Mayberry, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 827 Slack St, Pea Ridge, AR 72751 Phone: 479-451-9434 Fax: 479-488-6220 | |
Mrs. Amanda Mychale Coco, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 781 W Pickens Rd, Pea Ridge, AR 72751 Phone: 479-451-8181 | |
Courtney Elizabeth Powell, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 535 Nelson Ct, Pea Ridge, AR 72751 Phone: 479-366-7654 | |
Mr. Patrick Thompson, MS-CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 781 W Pickens Rd, Pea Ridge, AR 72751 Phone: 800-451-1343 |