| Southlake Speech & Hearing Center, Inc | |
|
99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 | |
| (219) 738-2528 | |
| (219) 756-7825 |
| Full Name | Southlake Speech & Hearing Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 99 E 86th Ave, Merrillville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609943380 | NPI | - | NPPES |
| 100466380A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 481-20 (Indiana) | Primary |
| Provider Name | Kristine N Vannevel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407923170 PECOS PAC ID: 6800061946 Enrollment ID: I20111219000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Southlake Speech & Hearing Center, Inc 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 Ph: (219) 738-2528 | Southlake Speech & Hearing Center, Inc 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 Ph: (219) 738-2528 |
Mrs. Jennifer Brooke Adams, AUD, CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 1609 E 80th Ave, Merrillville, IN 46410 Phone: 219-738-2730 Fax: 219-738-2743 | |
Ross Hearing Center, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1609 E 80th Ave, Merrillville, IN 46410 Phone: 219-738-2730 Fax: 219-738-2743 | |
Mrs. Kristine N. Van Nevel, M.S., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 99 E 86th Ave, Suite A, Merrillville, IN 46410 Phone: 219-738-2528 Fax: 219-756-7825 | |
Vernon Allen Shaw, CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 99 E 86th Ave, Merrillville, IN 46410 Phone: 219-738-2617 Fax: 219-738-2145 | |
Jaclin K Proctor, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 99 E 86th Ave, Suite A, Merrillville, IN 46410 Phone: 219-738-2528 Fax: 219-756-7825 |