| Miranda Robinson, | |
|
309 Nw E St, Stigler, OK 74462-1870 | |
| (918) 967-8875 | |
| (918) 967-4550 |
| Full Name | Miranda Robinson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 309 Nw E St, Stigler, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346511516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3322 (Oklahoma) | Primary |
| Provider Name | Stein Ancillary Services, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073591582 PECOS PAC ID: 1153374046 Enrollment ID: O20250616001350 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Robinson, 309 Nw E St, Stigler, OK 74462-1870 Ph: (918) 967-8875 | Miranda Robinson, 309 Nw E St, Stigler, OK 74462-1870 Ph: (918) 967-8875 |
Theresa Lackey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Nw E St, Stigler, OK 74462 Phone: 918-967-8875 Fax: 918-967-5124 |
Amanda Hare, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Nw E St, Stigler, OK 74462 Phone: 918-967-8875 Fax: 918-967-5124 |
Candace Mcnamee, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Nw E St, Stigler, OK 74462 Phone: 918-967-8875 Fax: 918-967-5124 |