| Speakn Up Llc | |
|
45 N First East St, Fredonia, AZ 86022-0079 | |
| (928) 606-3565 | |
| (928) 643-6554 |
| Full Name | Speakn Up Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 45 N First East St, Fredonia, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003436700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Sondra J Bistline |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174823843 PECOS PAC ID: 2860815958 Enrollment ID: I20200708001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Speakn Up Llc Po Box 843, Fredonia, AZ 86022-0843 Ph: (928) 606-3565 | Speakn Up Llc 45 N First East St, Fredonia, AZ 86022-0079 Ph: (928) 606-3565 |
David Armstrong Lambert, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 221 East Hortt Strett, Fredonia, AZ 86022 Phone: 928-643-7333 Fax: 928-643-7044 | |
Sondra J Bistline, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 North 100 East, Fredonia, AZ 86022 Phone: 928-606-3565 Fax: 928-643-6554 |