| Mrs Jessica Joan Miller, MACCC-SLP | |
|
705 N Meridian St, Greentown, IN 46936-1246 | |
| (765) 628-3377 | |
| Not Available |
| Full Name | Mrs Jessica Joan Miller |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 705 N Meridian St, Greentown, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306317409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22004579A (Indiana) | Primary |
| Provider Name | Ivyrehab Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Joan Miller, MACCC-SLP 705 N Meridian St, Greentown, IN 46936-1246 Ph: (765) 628-2987 | Mrs Jessica Joan Miller, MACCC-SLP 705 N Meridian St, Greentown, IN 46936-1246 Ph: (765) 628-3377 |
Miss Sheryl Weideman, MA-CFY, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9909 E 100 S, Greentown, IN 46936 Phone: 574-265-9350 | |
Sharon Reiff, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9909 E 100 S, Greentown, IN 46936 Phone: 765-628-0605 Fax: 765-628-3639 | |
Alicia Marleen Tam, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9909 E 100 S, Greentown, IN 46936 Phone: 765-628-0605 | |
Heather Maher, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9909 E 100 S, Greentown, IN 46936 Phone: 765-628-0605 Fax: 765-628-3639 | |
Nancy Blocher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9909 E 100 S, Greentown, IN 46936 Phone: 765-628-0605 Fax: 765-628-3639 | |
Sarah Mcnutt, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9909 E 100 S, Greentown, IN 46936 Phone: 765-628-0605 Fax: 765-628-3639 |