Mrs Nicole Lynn Kavanagh, CCC-SLP | |
5783 S Fawn Ave, Gilbert, AZ 85298-0848 | |
(480) 518-7073 | |
Not Available |
Full Name | Mrs Nicole Lynn Kavanagh |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 5783 S Fawn Ave, Gilbert, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922328780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 018711 (New York) | Secondary |
235Z00000X | Speech-language Pathologist | SLP6798 (Arizona) | Primary |
Provider Name | Nk Speech Therapy And Behavior Support Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104561471 PECOS PAC ID: 5890176291 Enrollment ID: O20220716000544 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Lynn Kavanagh, CCC-SLP 5783 S Fawn Ave, Gilbert, AZ 85298-0848 Ph: (480) 518-7073 | Mrs Nicole Lynn Kavanagh, CCC-SLP 5783 S Fawn Ave, Gilbert, AZ 85298-0848 Ph: (480) 518-7073 |
Kelly Reiss, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 N Key Biscayne Dr, Gilbert, AZ 85234 Phone: 480-497-9343 | |
Emily Ann Glandon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7520 S Adora Blvd, Gilbert, AZ 85298 Phone: 480-224-3600 | |
Miss Julia Ackerman, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 375 S Columbus Dr, Gilbert, AZ 85296 Phone: 480-507-1624 | |
Ms. Erin Lynn Camp, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 S Mcqueen Rd, Gilbert, AZ 85233 Phone: 480-497-0742 | |
Mrs. Anna-alyse Tellez Thomas, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4100 S Lindsay Rd Ste 113, Gilbert, AZ 85297 Phone: 480-219-3953 | |
Lynn Carahaly, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4100 S Lindsay Rd, Ste 113, Gilbert, AZ 85297 Phone: 480-219-3953 | |
Kelly Brooks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 67 S Higley Rd Ste 103-477, Gilbert, AZ 85296 Phone: 314-456-1880 |