Suny Fredonia/youngerman Center For Communication Disorders | |
280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 | |
(716) 673-3203 | |
(716) 673-3235 |
Full Name | Suny Fredonia/youngerman Center For Communication Disorders |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 280 Central Ave, Fredonia, 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 |
---|---|---|---|
1508079567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
Provider Name | Marc L Wilcox |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1205855145 PECOS PAC ID: 1759377344 Enrollment ID: I20040421000149 |
Provider Name | Timothy F Overbeck |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1831237965 PECOS PAC ID: 5092077743 Enrollment ID: I20180319000438 |
Provider Name | Melissa A Hooper |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1235285792 PECOS PAC ID: 3072875723 Enrollment ID: I20180319000529 |
Provider Name | Julie L Williams |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1447396510 PECOS PAC ID: 0244466860 Enrollment ID: I20180411002302 |
Provider Name | Sandra Ann Eichner |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1801049887 PECOS PAC ID: 6305238833 Enrollment ID: I20220113001013 |
Mailing Address | Practice Location Address |
---|---|
Suny Fredonia/youngerman Center For Communication Disorders 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 Ph: (716) 673-3203 | Suny Fredonia/youngerman Center For Communication Disorders 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063-1127 Ph: (716) 673-3203 |
Marc Luther Wilcox, MS CCC-A Audiologist Medicare: May Accept Medicare Assignments Practice Location: 280 Central Ave, W123 Thompson Hall, Fredonia, NY 14063 Phone: 716-673-3203 |