| Mrs Amy L Shoemaker, MS, CCC-SLP | |
|
46200 Port St, Plymouth, MI 48170-6048 | |
| (734) 454-0866 | |
| Not Available |
| Full Name | Mrs Amy L Shoemaker |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 46200 Port St, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881138667 | NPI | - | NPPES |
| 7101001310 | Other | MI | STATE OF MICHIGAN SPEECH-LANGUAGE PATHOLOGIST LICENSE |
| 12125514 | Other | MI | ASHA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101001310 (Michigan) | Secondary |
| 235Z00000X | Speech-language Pathologist | 12125514 (Michigan) | Primary |
| Provider Name | Therapeutic Advantage Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184038341 PECOS PAC ID: 8729204896 Enrollment ID: O20140725000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy L Shoemaker, MS, CCC-SLP 46200 Port St, Plymouth, MI 48170-6048 Ph: (734) 454-0866 | Mrs Amy L Shoemaker, MS, CCC-SLP 46200 Port St, Plymouth, MI 48170-6048 Ph: (734) 454-0866 |
Mikayla Treynor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Laura Nye, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Cassidy Mertz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4401 | |
Jill Kristin Stiles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 46200 Port St, Plymouth, MI 48170 Phone: 734-372-1965 | |
Angela Criteser, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14496 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601 | |
Amelia O'connor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 229 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601 | |
Emily Taylor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 46200 Port St, Plymouth, MI 48170 Phone: 734-454-0866 |