| Speech Language Therapy Of Central New York Llc | |
|
4266 Acme Rd, Frankfort, NY 13340-3504 | |
| (315) 732-9368 | |
| Not Available |
| Full Name | Speech Language Therapy Of Central New York Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 4266 Acme Rd, Frankfort, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649723727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
| Provider Name | Nicole J Nicolette Walz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588800718 PECOS PAC ID: 1052699311 Enrollment ID: I20161021000148 |
| Provider Name | Renee M English |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467723296 PECOS PAC ID: 3173811403 Enrollment ID: I20161104001925 |
| Provider Name | Katrina Wadas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558840728 PECOS PAC ID: 9739592064 Enrollment ID: I20210106000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Language Therapy Of Central New York Llc 12 Central Plz, Ilion, NY 13357-1701 Ph: (315) 525-5275 | Speech Language Therapy Of Central New York Llc 4266 Acme Rd, Frankfort, NY 13340-3504 Ph: (315) 732-9368 |
Stacy Lorraine Richard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 325 5th Ave, Frankfort, NY 13340 Phone: 315-717-7442 Fax: 315-895-0062 | |
Ms. Laura J Meyer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 610 Reese Rd, Frankfort, NY 13340 Phone: 315-939-3703 |