| Susan Fackler, | |
|
1966 Garrett Rd, Brandenburg, KY 40108-6343 | |
| (502) 648-7696 | |
| Not Available |
| Full Name | Susan Fackler |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1966 Garrett Rd, Brandenburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588054589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLPINP00216497 (Kentucky) | Primary |
| Provider Name | Capacity Care,inc |
|---|---|
| Provider Type | Part B Supplier - Other |
| Provider Identifiers | NPI Number: 1790972768 PECOS PAC ID: 9830561869 Enrollment ID: O20230220002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Fackler, 1966 Garrett Rd, Brandenburg, KY 40108-6343 Ph: (502) 648-7696 | Susan Fackler, 1966 Garrett Rd, Brandenburg, KY 40108-6343 Ph: (502) 648-7696 |
Kathryn Marie Greer, MS-CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway St, Brandenburg, KY 40108 Phone: 270-422-7545 | |
Mrs. Lisa G Tindell, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 814 Old Ekron Rd, Brandenburg, KY 40108 Phone: 270-422-2148 Fax: 270-422-4791 | |
Mrs. Erin Percefull Jarvis, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 116 Warbler Rd, Brandenburg, KY 40108 Phone: 270-422-8198 Fax: 270-422-8197 | |
Milestones Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1966 Garrett Rd, Brandenburg, KY 40108 Phone: 502-648-7696 | |
Mrs. Melissa G Bland, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 97 Rolling Ridge Ct, Brandenburg, KY 40108 Phone: 502-641-4945 |