| Stacy Pelon, MA, CCC-SLP | |
|
720 E 8th St Ste 3, Holland, MI 49423-3079 | |
| (616) 300-5495 | |
| Not Available |
| Full Name | Stacy Pelon |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 720 E 8th St Ste 3, Holland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447726138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101004428 (Michigan) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457868937 PECOS PAC ID: 6507832573 Enrollment ID: O20180205002852 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Pelon, MA, CCC-SLP 2880 Wilson Ave Sw, Grandville, MI 49418-1221 Ph: (616) 300-5495 | Stacy Pelon, MA, CCC-SLP 720 E 8th St Ste 3, Holland, MI 49423-3079 Ph: (616) 300-5495 |
Holly Marino, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 340 W 40th St, Holland, MI 49423 Phone: 616-394-0302 |
Mrs. Kathryn A Greene, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 171 Timberwood Ln, Holland, MI 49423 Phone: 616-396-4480 |
Kimberley Paige Herman Mitchell, MA-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 439 Olde Deer Trl, Holland, MI 49424 Phone: 616-786-0072 |
Abigail Deborah Ortwine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 373 E 24th St, Holland, MI 49423 Phone: 616-494-2032 |
Emily Rose Nuss, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1221 E 16th St, Holland, MI 49423 Phone: 616-396-7095 |
Laura Jean Crandle, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 445 104th Ave, Holland, MI 49423 Phone: 616-795-9693 |
Corene D'addona, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 W 24th St, Holland, MI 49423 Phone: 616-494-2314 |