| Performing Arts Training Academy, Llc | |
|
100 N Wilkes Barre Blvd Ste 409, Wilkes Barre, PA 18702-5235 | |
| (570) 406-9083 | |
| Not Available |
| Full Name | Performing Arts Training Academy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 100 N Wilkes Barre Blvd Ste 409, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811449572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SL006394L (Pennsylvania) | Primary |
| Provider Name | Cari M Tellis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336217942 PECOS PAC ID: 9234410572 Enrollment ID: I20161229000573 |
| Provider Name | Erin Christine Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972052181 PECOS PAC ID: 7113257668 Enrollment ID: I20190925002750 |
| Mailing Address | Practice Location Address |
|---|---|
| Performing Arts Training Academy, Llc Po Box 1388, Kingston, PA 18704-0379 Ph: (570) 288-8881 | Performing Arts Training Academy, Llc 100 N Wilkes Barre Blvd Ste 409, Wilkes Barre, PA 18702-5235 Ph: (570) 406-9083 |
Jocelyn Peter, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1122 Highway 315 Blvd, Wilkes Barre, PA 18702 Phone: 877-407-3422 Fax: 877-407-4329 | |
Colleen Henry, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 N River St, Wilkes Barre, PA 18702 Phone: 570-831-8622 Fax: 570-970-0318 | |
Mary Carney, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1122 Highway 315 Blvd, Wilkes Barre, PA 18702 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ms. Mary L Culkin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 North Franklin St, Wilkes Barre, PA 18701 Phone: 570-829-2453 Fax: 570-829-2462 | |
Lynn Ann Ewaskiw-gordon, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S Meade St, Wilkes Barre, PA 18702 Phone: 570-823-6131 | |
Christine Marie Strawsky, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S Meade St, Wilkes Barre, PA 18702 Phone: 570-823-6131 Fax: 570-823-5171 | |
Chelsea Alma Zimmerman, MS CCC- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 293 S Hancock St, Wilkes Barre, PA 18702 Phone: 484-332-9315 |