| Mrs Amenthia Meredith Koller, MS, CCC-SLP | |
|
1417 Augusta Dr, Savannah, TX 76227-7663 | |
| (214) 546-8382 | |
| Not Available |
| Full Name | Mrs Amenthia Meredith Koller |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1417 Augusta Dr, Savannah, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154448397 | NPI | - | NPPES |
| 121468721 | Medicaid | AR | |
| 106038 | Medicaid | TX | |
| 5T451 | Other | AR | BLUECROSS |
| 106038 | Other | TX | TEXAS SPEECH PATHOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP698 (Arkansas) | Secondary |
| 235Z00000X | Speech-language Pathologist | 106038 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amenthia Meredith Koller, MS, CCC-SLP 1417 Augusta Dr, Savannah, TX 76227-7663 Ph: (214) 546-8382 | Mrs Amenthia Meredith Koller, MS, CCC-SLP 1417 Augusta Dr, Savannah, TX 76227-7663 Ph: (214) 546-8382 |
Ms. Cindi Ann Price, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1222 Gwinnett Court, Savannah, TX 76227 Phone: 972-529-7572 |