| Mrs Mary Leigh Kirschbaum, MS/CCC-SLP | |
|
410 Roedl Court, Golden Living Center, Beaver Dam, WI 53916 | |
| (920) 887-7191 | |
| (920) 887-7270 |
| Full Name | Mrs Mary Leigh Kirschbaum |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 410 Roedl Court, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487827382 | NPI | - | NPPES |
| 41220500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 89-154 (Wisconsin) | Primary |
| Provider Name | Oasis Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20220706002370 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Leigh Kirschbaum, MS/CCC-SLP 205 Prairie View Dr, Beaver Dam, WI 53916-3406 Ph: (920) 296-4889 | Mrs Mary Leigh Kirschbaum, MS/CCC-SLP 410 Roedl Court, Golden Living Center, Beaver Dam, WI 53916 Ph: (920) 887-7191 |
Ms. Emily M Neuman, M.S. CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 | |
Angela Kay Van Ooyen, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 Fax: 920-885-3839 | |
Colleen Anhalt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 Fax: 920-885-3839 | |
Kali Lynn Shine, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 | |
Courtney Rae Retzlaff, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 104 Fakes Ct., Beaver Dam, WI 53916 Phone: 715-923-7014 | |
Mrs. Jacqueline Maud Davis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 |