| Mrs Lisa Michelle Cassidy Stultz, MS CCCSLP | |
|
2141 N Dan Jones Rd, Avon, IN 46123-6023 | |
| (317) 943-1837 | |
| (317) 780-3750 |
| Full Name | Mrs Lisa Michelle Cassidy Stultz |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2141 N Dan Jones Rd, Avon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568651107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22004181A (Indiana) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174275283 PECOS PAC ID: 2365359932 Enrollment ID: O20110708000322 |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230517000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Michelle Cassidy Stultz, MS CCCSLP 18 Estate Dr, Mooresville, IN 46158-1216 Ph: (317) 374-6947 | Mrs Lisa Michelle Cassidy Stultz, MS CCCSLP 2141 N Dan Jones Rd, Avon, IN 46123-6023 Ph: (317) 943-1837 |
Alyssa White, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Satori Pkwy, Avon, IN 46123 Phone: 812-618-8979 | |
Mrs. Christine Janelle Dubeau, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1062 Park Ct, Avon, IN 46123 Phone: 630-742-6238 | |
Abby Susan Siegwarth, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6748 E Us Highway 36 Unit C, Avon, IN 46123 Phone: 317-825-8326 | |
Valyne Anderson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1836 Valleywood Dr, Avon, IN 46123 Phone: 317-372-4929 | |
Jessica Beth Teipen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7393 Business Center Dr, Suite 500, Avon, IN 46123 Phone: 317-272-0480 | |
Rebecca Susan Black, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 269 Glendale Ct, Avon, IN 46123 Phone: 317-417-0057 Fax: 317-272-4049 | |
Robyn Joy Ford, M.A., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 75 S County Road 400 E, Avon, IN 46123 Phone: 317-745-5184 |