| Shannon Broadwell, | |
|
2915 Moraine Dr, Brighton, MI 48114-9218 | |
| (989) 948-0900 | |
| Not Available |
| Full Name | Shannon Broadwell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2915 Moraine Dr, Brighton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497278956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Ivyrehab Michigan LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Broadwell, 5333 Mcauley Dr Rm 2017, Ypsilanti, MI 48197-1096 Ph: (734) 434-3200 | Shannon Broadwell, 2915 Moraine Dr, Brighton, MI 48114-9218 Ph: (989) 948-0900 |
Alexis Ammon, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 425 S 7th St, Brighton, MI 48116 Phone: 734-619-0193 |
Mrs. Kathleen Ann Joyce-mccrory, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8542 W Grand River Ave, Brighton, MI 48116 Phone: 734-449-4649 Fax: 734-449-4669 |
Katelynn Tagget, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4740 Bauer Rd, Brighton, MI 48116 Phone: 810-299-3600 |
Blossom Children's Center-brighton Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8175 Movie Dr, Brighton, MI 48116 Phone: 248-277-3005 Fax: 248-277-3050 |
Jessica Lyn Pomerville, MA-CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 7960 Grand River Ave, Ste 280, Brighton, MI 48114 Phone: 810-412-4183 Fax: 810-454-2428 |
Joleen Burwitz, M.A. C.C.C. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7200 Challis Rd, Brighton, MI 48116 Phone: 810-772-0119 |
Jillian Maahs, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1014 E Grand River Ave, Brighton, MI 48116 Phone: 810-220-5222 |