| Sophia Marie York, | |
|
4625 Amity Dr Apt 304, Fort Wayne, IN 46845-9816 | |
| (260) 431-7625 | |
| Not Available |
| Full Name | Sophia Marie York |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4625 Amity Dr Apt 304, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346042918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22009031A (Indiana) | Primary |
| 235Z00000X | Speech-language Pathologist | 39391 (California) | Secondary |
| Provider Name | Creative Health Care Management LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
| Provider Name | Cortlyn Therapy PC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235725730 PECOS PAC ID: 8729495684 Enrollment ID: O20210813001842 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Marie York, 4625 Amity Dr Apt 304, Fort Wayne, IN 46845-9816 Ph: Not Available | Sophia Marie York, 4625 Amity Dr Apt 304, Fort Wayne, IN 46845-9816 Ph: (260) 431-7625 |
Michelle A Ludlow, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845 Phone: 260-338-1241 Fax: 260-338-1231 |
Josie Lyn Johnson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5250 Heritage Pkwy, Fort Wayne, IN 46835 Phone: 260-209-6279 |
Linda Sue Sickman, PH.D., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1717 Maplecrest Rd, Fort Wayne, IN 46815 Phone: 260-493-0012 |
Jennifer Lynn Garrett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6329 Mapledowns Dr, Fort Wayne, IN 46835 Phone: 260-433-7903 |
Jennifer Wilson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845 Phone: 260-338-1241 Fax: 260-338-1231 |
Mrs. Toni Walker Blackwood, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1923 Brandywine Trl, Fort Wayne, IN 46845 Phone: 260-637-3117 |
Mrs. Kimberly A Griffith, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6205 Constitution Dr, Fort Wayne, IN 46804 Phone: 260-438-3586 Fax: 877-992-0273 |