| Mrs Makayla Elani Watson, CCC-SLP | |
|
6887 Pine Crest Trl S, Cottage Grove, MN 55016-4572 | |
| (951) 491-1791 | |
| Not Available |
| Full Name | Mrs Makayla Elani Watson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6887 Pine Crest Trl S, Cottage Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699559120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 528692 (Minnesota) | Primary |
| Provider Name | The Madison Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083832158 PECOS PAC ID: 5092004200 Enrollment ID: O20160511001287 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Makayla Elani Watson, CCC-SLP 75100 Mediterranean, Palm Desert, CA 92211-9069 Ph: (888) 439-4088 | Mrs Makayla Elani Watson, CCC-SLP 6887 Pine Crest Trl S, Cottage Grove, MN 55016-4572 Ph: (951) 491-1791 |
Azmina Vining, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6693 Timber Ridge Lane Ct, Cottage Grove, MN 55016 Phone: 651-353-0634 | |
Kim Elizabeth Bialka, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7362 E Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-425-7204 | |
Tanya Marie Anderson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7362 E Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-425-7204 | |
Darby Sue Hartman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8400 E Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-425-6139 | |
Anna Seltz, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7362 E Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-425-7204 | |
Catherine Kuzj, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8466 Jody Ct S, Cottage Grove, MN 55016 Phone: 651-829-4261 | |
Abigael Adams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7362 E Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-425-7204 |