| Mrs Tricia Lee Tillinghast, MA, SLP | |
| 10 Burkle St, Oswego, NY 13126-3259 | |
| (315) 342-4600 | |
| (315) 342-9599 | 
| Full Name | Mrs Tricia Lee Tillinghast | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 10 Burkle St, Oswego, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518272178 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 020360-01 (New York) | Secondary | 
| 235Z00000X | Speech-language Pathologist | 58 020360 (New York) | Primary | 
| Provider Name | State Of New York Comptrollers Office | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Tricia Lee Tillinghast, MA, SLP 703 E Maple Ave, Newark, NY 14513-1845 Ph: (315) 690-3712 | Mrs Tricia Lee Tillinghast, MA, SLP 10 Burkle St, Oswego, NY 13126-3259 Ph: (315) 342-4600 | 
| Mrs. Melissa Ann Phillips, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
| Meredith Austin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 Fax: 315-342-7664 | |
| Melissa Virginia Dauccio,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
| Emily Poulton, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Buccaneer Blvd, Oswego, NY 13126 Phone: 315-341-2600 | |
| Sarah Grace Harper,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 299 E River Rd, Oswego, NY 13126 Phone: 315-342-3166 | |
| Juliet C Abendroth, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-4600 | |
| Mrs. Dana Donovan, MS. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Suite 140, Oswego, NY 13126 Phone: 315-349-5558 Fax: 315-349-5652 |