| Rachel Koprivnak, SLP | |
| 
					6295 Conley Rd, Painesville, OH 44077-8860  | |
| (330) 322-6062 | |
| Not Available | 
| Full Name | Rachel Koprivnak | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 6295 Conley Rd, Painesville, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184740532 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP08607 (Ohio) | Secondary | 
| 235Z00000X | Speech-language Pathologist | SP8607 (Ohio) | Primary | 
| Provider Name | Legacy Healthcare Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rachel Koprivnak, SLP 6295 Conley Rd, Painesville, OH 44077-8860 Ph: (330) 322-6062  | Rachel Koprivnak, SLP 6295 Conley Rd, Painesville, OH 44077-8860 Ph: (330) 322-6062  | 
Clarice Varga,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 58 Jefferson St, Painesville, OH 44077 Phone: 440-392-5080  | |
Karen Bush,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 70 Normandy Dr, Painesville, OH 44077 Phone: 440-357-1311  | |
Alexandra S Dolan, M.A SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 60 Wood St, Painesville, OH 44077 Phone: 440-746-3234  | |
Amy Caldwell,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 382 Blackbrook Rd, Painesville, OH 44077 Phone: 440-350-2563  | |
Theresa M Fisher, MACCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1790 Sansdan Ct, Painesville, OH 44077 Phone: 440-354-3654  | |
Lusi Radan, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 167 S Settlers Ln, Painesville, OH 44077 Phone: 440-354-6764  |