| Mrs Debra Bern Rua, SPEECH LANGUAGE PATH | |
|
61 Crown St., Kingston, NY 12401 | |
| (845) 945-3545 | |
| Not Available |
| Full Name | Mrs Debra Bern Rua |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 61 Crown St., Kingston, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700153780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Advanced Therapy Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265898696 PECOS PAC ID: 9032451687 Enrollment ID: O20190430002453 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Debra Bern Rua, SPEECH LANGUAGE PATH 31 Market Street, Saugerties, NY 12477 Ph: (518) 755-5839 | Mrs Debra Bern Rua, SPEECH LANGUAGE PATH 61 Crown St., Kingston, NY 12401 Ph: (845) 945-3545 |
Mrs. Jennifer L.e. Couse, MSED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 61 Crown St, Kingston, NY 12401 Phone: 845-339-3000 | |
Theresa Shanley Massimi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 275 Fair St, Kingston, NY 12401 Phone: 845-399-0192 Fax: 845-331-1774 | |
Emily Allem, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 70 Kukuk Ln, Kingston, NY 12401 Phone: 845-336-2616 | |
Sandra L Hess, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 70 Kukuk Ln, Kingston, NY 12401 Phone: 845-336-2616 | |
Julia Annabel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 70 Kukuk Ln, Kingston, NY 12401 Phone: 845-336-2616 | |
Megan Maloney, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21 Wynkoop Pl, Kingston, NY 12401 Phone: 845-943-3000 | |
Myra Lutomski, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 70 Kukuk Ln, Kingston, NY 12401 Phone: 845-336-2616 Fax: 845-336-3302 |