Ms Ellen-beth Fullwood, MS CCC-SLP | |
15114 Cloverdale Dr, Fort Myers, FL 33919-8308 | |
(239) 410-2629 | |
(309) 410-2629 |
Full Name | Ms Ellen-beth Fullwood |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 15114 Cloverdale Dr, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386894574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA9064 (Florida) | Primary |
Provider Name | Dah Therapies Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407325467 PECOS PAC ID: 5395078968 Enrollment ID: O20190613001242 |
Provider Name | Optimized Therapy Transitions Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891346680 PECOS PAC ID: 6305274812 Enrollment ID: O20200317000146 |
Mailing Address | Practice Location Address |
---|---|
Ms Ellen-beth Fullwood, MS CCC-SLP 15114 Cloverdale Dr, Fort Myers, FL 33919-8308 Ph: (239) 410-2629 | Ms Ellen-beth Fullwood, MS CCC-SLP 15114 Cloverdale Dr, Fort Myers, FL 33919-8308 Ph: (239) 410-2629 |
Mrs. Denise Elaine Luna, M.S.,C.C.C Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1346 Cordova Ave, Fort Myers, FL 33901 Phone: 239-994-6062 | |
Suzanne Ball, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2826 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-334-1091 | |
Caitlyn Indyk, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6360 Techster Blvd, Suite 1, Fort Myers, FL 33966 Phone: 239-223-2751 Fax: 239-561-2933 | |
Emmi Ring Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12605 Laurel Cove Dr, Fort Myers, FL 33913 Phone: 765-717-5288 | |
Mrs. Edith Trafford, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 Elderberry Ln, Fort Myers, FL 33907 Phone: 508-269-0252 | |
Cesily Insana, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4997 Royal Gulf Cir, Fort Myers, FL 33966 Phone: 239-313-5049 Fax: 239-313-5712 | |
Miss Stefanie Leigh Blackwell, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16971 Laurelin Ct, Fort Myers, FL 33917 Phone: 308-293-7048 |