| Sparc Speech And Language Therapy Services Llc | |
|
23003 Greater Mack Ave Ste A, Saint Clair Shores, MI 48080-1965 | |
| (313) 268-6173 | |
| (586) 204-3266 |
| Full Name | Sparc Speech And Language Therapy Services Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 23003 Greater Mack Ave Ste A, Saint Clair Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588186829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101000566 (Michigan) | Primary |
| Provider Name | Amy K Mcintyre |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609311026 PECOS PAC ID: 7113281478 Enrollment ID: I20180514002289 |
| Mailing Address | Practice Location Address |
|---|---|
| Sparc Speech And Language Therapy Services Llc 23003 Greater Mack Ave Ste A, Saint Clair Shores, MI 48080-1965 Ph: (313) 268-6173 | Sparc Speech And Language Therapy Services Llc 23003 Greater Mack Ave Ste A, Saint Clair Shores, MI 48080-1965 Ph: (313) 268-6173 |
Barbara Danielle Krzesak, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 26210 Harper Ave, Saint Clair Shores, MI 48081 Phone: 888-485-8636 | |
Olivia Katherine Langsdorf, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-0031 | |
Patrick Beasley, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Mrs. Maryann P. Mitchell, M.A. SLP-CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19505 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 313-832-1100 | |
Adam Craig Fry, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Lauren Seeley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22100 Masonic Blvd, Saint Clair Shores, MI 48082 Phone: 313-400-6617 | |
Emily Virginia Barc, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22421 Visnaw St, Saint Clair Shores, MI 48081 Phone: 586-330-9080 |