| Ms Jena Mary Wielgosz, CCC-SLP | |
|
42804 Garfield Rd, Clinton Twp, MI 48038-1656 | |
| (586) 307-6134 | |
| Not Available |
| Full Name | Ms Jena Mary Wielgosz |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 42804 Garfield Rd, Clinton Twp, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356148761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101009336 (Michigan) | Primary |
| Provider Name | Crawl Walk Jump Run Therapy Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730363573 PECOS PAC ID: 5294747002 Enrollment ID: O20060619000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jena Mary Wielgosz, CCC-SLP 42804 Garfield Rd, Clinton Twp, MI 48038-1656 Ph: (586) 307-6134 | Ms Jena Mary Wielgosz, CCC-SLP 42804 Garfield Rd, Clinton Twp, MI 48038-1656 Ph: (586) 307-6134 |
Miss Jessica Marie Parrish, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44738 Morley Dr, Clinton Twp, MI 48036 Phone: 586-421-4062 Fax: 586-421-4072 | |
Stephanie Morin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44738 Morley Dr, Clinton Twp, MI 48036 Phone: 586-421-4062 | |
Erin Welch, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 42536 Hayes Rd, Suite 100, Clinton Twp, MI 48038 Phone: 586-286-9644 Fax: 586-286-9647 | |
Loren Mitten, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 36358 Garfield Rd Ste 1, Clinton Twp, MI 48035 Phone: 586-221-0705 | |
Laura Grzybowski, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44682 Morley Dr, Clinton Twp, MI 48036 Phone: 586-421-4062 Fax: 586-421-4072 | |
Mrs. Joann Pandori Rowlett, CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 42536 Hayes Rd, Suite #100, Clinton Twp, MI 48038 Phone: 586-286-9644 Fax: 586-286-9647 |