| Mr Timothy Leonard Haller, SLP | |
|
47 Blaisdell Ave, Ravena, NY 12143 | |
| (518) 334-9546 | |
| Not Available |
| Full Name | Mr Timothy Leonard Haller |
|---|---|
| Gender | Male |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 39 Years |
| Location | 47 Blaisdell Ave, Ravena, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285703041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 005527 (New York) | Primary |
| Provider Name | Open Door Speech Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841801529 PECOS PAC ID: 3072927102 Enrollment ID: O20210201000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Leonard Haller, SLP Po Box 761, Coeymans, NY 12045-0761 Ph: (518) 334-9546 | Mr Timothy Leonard Haller, SLP 47 Blaisdell Ave, Ravena, NY 12143 Ph: (518) 334-9546 |
Melissa R Cookfair, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14379 Route 9w, Ravena, NY 12143 Phone: 518-756-3124 Fax: 518-756-9476 | |
Gabriella G Deangelo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14379 Route 9w, Ravena, NY 12143 Phone: 518-756-3124 | |
Mrs. Stephanie K Howe, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14379 Route 9w, Ravena, NY 12143 Phone: 518-756-3124 Fax: 518-756-9476 | |
Mrs. Victoria Elizabeth Tesch, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15 Mountain Rd, Ravena-coeymans-selkirk Central School District, Ravena, NY 12143 Phone: 518-756-5200 | |
Mrs. Mary Elizabeth R Giacoma, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14379 Route 9w, Ravena, NY 12143 Phone: 518-756-3124 Fax: 518-756-9476 | |
Mrs. Kelly L Guilmette, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14379 Route 9w, Ravena, NY 12143 Phone: 518-756-3124 Fax: 518-756-9476 |