| Mrs Susan Mary Fitzgerald, MA CCCSLP | |
|
7901 Yucca Dr, New Port Richey, FL 34653 | |
| (727) 845-4435 | |
| (727) 841-0190 |
| Full Name | Mrs Susan Mary Fitzgerald |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7901 Yucca Dr, New Port Richey, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215083233 | NPI | - | NPPES |
| SA2452 | Other | FL | SLP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA2452 (Florida) | Primary |
| Provider Name | Active Living Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437362787 PECOS PAC ID: 2365352549 Enrollment ID: O20031215000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan Mary Fitzgerald, MA CCCSLP 7901 Yucca Dr, New Port Richey, FL 34653 Ph: (727) 845-4435 | Mrs Susan Mary Fitzgerald, MA CCCSLP 7901 Yucca Dr, New Port Richey, FL 34653 Ph: (727) 845-4435 |
Miss Marissa Elena Gai, M.S. CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4443 Rowan Rd, New Port Richey, FL 34653 Phone: 727-846-9900 | |
Lauren Theresa Mundy, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6245 State Road 54, New Port Richey, FL 34653 Phone: 727-376-1111 | |
Jordan Schroeder, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4142 Rowan Rd, New Port Richey, FL 34653 Phone: 813-480-3663 | |
Srishti Joseph, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6400 Trouble Creek Rd, New Port Richey, FL 34653 Phone: 727-213-0721 | |
Jeanne Marie Barth, M.A.,CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5708 Salt Kettle Ct, New Port Richey, FL 34652 Phone: 813-389-2264 Fax: 813-264-6923 | |
Madisen Kathleen Tager, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7657 Cita Ln, New Port Richey, FL 34653 Phone: 727-376-1111 Fax: 727-376-1113 | |
Tara Kaitlyn Fleming, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1726 Davenport Dr, New Port Richey, FL 34655 Phone: 727-493-2393 |