| 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  |