Samantha Renee Minich, MA, CCC-SLP | |
5154 N Park Ave, Indianapolis, IN 46205-1066 | |
(260) 223-5350 | |
Not Available |
Full Name | Samantha Renee Minich |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 5154 N Park Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346892007 | NPI | - | NPPES |
7928 | Other | SC | SOUTH CAROLINA SLP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 22008951A (Indiana) | Primary |
Provider Name | Fox Rehab Indiana Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043568942 PECOS PAC ID: 9436303559 Enrollment ID: O20130214000146 |
Mailing Address | Practice Location Address |
---|---|
Samantha Renee Minich, MA, CCC-SLP 5154 N Park Ave, Indianapolis, IN 46205-1066 Ph: (260) 223-5350 | Samantha Renee Minich, MA, CCC-SLP 5154 N Park Ave, Indianapolis, IN 46205-1066 Ph: (260) 223-5350 |
Mrs. Rachelle Lyn Ferguson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8616 W 10th St, Indianapolis, IN 46234 Phone: 317-209-2332 | |
Anne P Droese, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6923 Hillsdale Ct, Indianapolis, IN 46250 Phone: 317-472-6150 Fax: 317-644-8050 | |
Mrs. Samantha Lonetta Rae Hannah, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8921 Southpointe Dr, Suite C-1, Indianapolis, IN 46227 Phone: 317-881-1718 Fax: 317-881-1728 | |
Ms. Courtney Elese Gorbandt, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste A, Indianapolis, IN 46227 Phone: 317-791-9031 | |
Julia Porter, MSP, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111 | |
Sarah Dixon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111 | |
Taralynn Morgan Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste I, Indianapolis, IN 46227 Phone: 317-561-1888 |