| Arizona Autism | |
|
7120 E Sahuaro Dr Scottsdale AZ 85254-5238 | |
| (602) 726-8525 | |
| Not Available |
| Full Name | Arizona Autism |
|---|---|
| Speciality | Occupational Therapist |
| Location | 7120 E Sahuaro Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Ryan R Sherman (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 6023197324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Autism 530 E Mcdowell Rd Ste 107-495 Phoenix AZ 85004-1549 Ph: (602) 726-2300 | Arizona Autism 7120 E Sahuaro Dr Scottsdale AZ 85254-5238 Ph: (602) 726-8525 |
| NPI Number | 1750727798 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 3476823972 |
|---|---|
| Medicare Enrollment ID | O20190321000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750727798 | NPI | - | NPPES |
| 132997 | Medicaid | AZ | |
| 974463 | Medicaid | AZ |
| Provider Name | Victoria J Petti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184950438 PECOS PAC ID: 3870523756 Enrollment ID: I20050819000689 |
| Provider Name | John F Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386607380 PECOS PAC ID: 4688721194 Enrollment ID: I20090420000303 |
| Provider Name | Heather A Sunshine Barinbaum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295956050 PECOS PAC ID: 7618150756 Enrollment ID: I20110325000793 |
| Provider Name | Janina E Goodman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205151164 PECOS PAC ID: 4284811589 Enrollment ID: I20110615000072 |
| Provider Name | Kimberly M Douglas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609941962 PECOS PAC ID: 5092974055 Enrollment ID: I20120309000618 |
| Provider Name | Matthew D Levac |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902220122 PECOS PAC ID: 8325263650 Enrollment ID: I20140630002143 |
| Provider Name | Quenton B Mccallister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255777173 PECOS PAC ID: 6002175502 Enrollment ID: I20180208001534 |
| Provider Name | Klay Daniel Finley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245730126 PECOS PAC ID: 8820359441 Enrollment ID: I20180222001807 |
| Provider Name | Kristine Coons |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396824504 PECOS PAC ID: 8921361221 Enrollment ID: I20180419002517 |
| Provider Name | Rebecca Ellen Downs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760610737 PECOS PAC ID: 0840554820 Enrollment ID: I20180426002564 |
| Provider Name | Nicole A Sellers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932570835 PECOS PAC ID: 8729334206 Enrollment ID: I20180815002194 |
| Provider Name | Tracy R Mcadams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114147840 PECOS PAC ID: 1153677745 Enrollment ID: I20180821001986 |
| Provider Name | Adrianne Eileen Mcdevitt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215251178 PECOS PAC ID: 3577803899 Enrollment ID: I20190325001620 |
| Provider Name | Robert Edward Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962734863 PECOS PAC ID: 8123368149 Enrollment ID: I20190328002082 |
| Provider Name | Margaret P Pierson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427381946 PECOS PAC ID: 6406199009 Enrollment ID: I20190523000090 |
| Provider Name | Tracey Kunz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457564965 PECOS PAC ID: 4082948146 Enrollment ID: I20190624000384 |
| Provider Name | Sean B Irwin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225594807 PECOS PAC ID: 3274860168 Enrollment ID: I20190815001618 |
| Provider Name | Mary L Hesterwerth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235677188 PECOS PAC ID: 5092043737 Enrollment ID: I20190820001579 |
| Provider Name | Monica Avina-vizzerra |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306153028 PECOS PAC ID: 5698004513 Enrollment ID: I20190831000284 |
| Provider Name | Jennifer N Trost |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174827158 PECOS PAC ID: 1557690658 Enrollment ID: I20190916002532 |
| Provider Name | Samantha R Leade |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215304688 PECOS PAC ID: 6002146131 Enrollment ID: I20191002002389 |
| Provider Name | Noelle M Nicolas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225216450 PECOS PAC ID: 6406075670 Enrollment ID: I20191127002640 |
| Provider Name | Cynthia Selim |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497253918 PECOS PAC ID: 1456784693 Enrollment ID: I20191203000217 |
| Provider Name | Rona Silverstein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518288174 PECOS PAC ID: 7618300781 Enrollment ID: I20191203001657 |
| Provider Name | Nicole Leanne Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376862573 PECOS PAC ID: 8224461306 Enrollment ID: I20191203002225 |
| Provider Name | Nadine Haluszczak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841638541 PECOS PAC ID: 8022441104 Enrollment ID: I20191203002300 |
| Provider Name | Julea Smalenberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336574805 PECOS PAC ID: 5294168399 Enrollment ID: I20191203002837 |
| Provider Name | Kelly Orth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790119246 PECOS PAC ID: 3779916879 Enrollment ID: I20191203003127 |
| Provider Name | Jamie Lee Bigley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609166206 PECOS PAC ID: 0345673455 Enrollment ID: I20191204000199 |
| Provider Name | Justin Segura |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609390236 PECOS PAC ID: 8022441153 Enrollment ID: I20191204000918 |
| Provider Name | Lauren Sailor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700392719 PECOS PAC ID: 0042643090 Enrollment ID: I20191204002176 |
| Provider Name | Kenderia Antonette Bice |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174956379 PECOS PAC ID: 1759714702 Enrollment ID: I20191204002314 |
| Provider Name | Korri Redpath-carollo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245353630 PECOS PAC ID: 3779916747 Enrollment ID: I20191204003141 |
| Provider Name | Lauren Keely Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538440987 PECOS PAC ID: 8224461231 Enrollment ID: I20191205001186 |
| Provider Name | Deborah N Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447370119 PECOS PAC ID: 3375976129 Enrollment ID: I20191209001357 |
| Provider Name | Patricia Jane Jimenez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003040692 PECOS PAC ID: 4082047857 Enrollment ID: I20191209002250 |
| Provider Name | Karin J Frank |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144373481 PECOS PAC ID: 6204269087 Enrollment ID: I20191209002533 |
| Provider Name | Mary Beth Askew |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780863936 PECOS PAC ID: 7911330725 Enrollment ID: I20191210000893 |
| Provider Name | Chrystie Lee Kleinknecht |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346402112 PECOS PAC ID: 2668805383 Enrollment ID: I20191210001772 |
| Provider Name | Genna Eve Lowe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124334958 PECOS PAC ID: 1456784107 Enrollment ID: I20191210002906 |
| Provider Name | Sara K Griggs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063727469 PECOS PAC ID: 7810320439 Enrollment ID: I20191211002530 |
| Provider Name | Jared Stuck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023665387 PECOS PAC ID: 0446683098 Enrollment ID: I20191212000623 |
| Provider Name | Erica Tahse Palacios |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700805413 PECOS PAC ID: 4587097001 Enrollment ID: I20191213000918 |
| Provider Name | Meir Cafri |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538685375 PECOS PAC ID: 8820422314 Enrollment ID: I20191216001176 |
| Provider Name | Erika M Moy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801140629 PECOS PAC ID: 6507290962 Enrollment ID: I20191218002092 |
| Provider Name | Pamela Kaye Mclaughlin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801091855 PECOS PAC ID: 2668806027 Enrollment ID: I20191218002177 |
| Provider Name | Janelle Ayako Isaki |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982917241 PECOS PAC ID: 5092908277 Enrollment ID: I20191218002310 |
| Provider Name | Christina S Cochrane |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831571504 PECOS PAC ID: 9032543210 Enrollment ID: I20191220001543 |
| Provider Name | Joanne R Muench |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689893026 PECOS PAC ID: 7012341290 Enrollment ID: I20191220001591 |
| Provider Name | Sarah H Brevoort |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538494133 PECOS PAC ID: 8426482613 Enrollment ID: I20191220002033 |
| Provider Name | Stacy A Cariello |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316006125 PECOS PAC ID: 8921432121 Enrollment ID: I20191220002140 |
| Provider Name | Sandra L Widmer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427337591 PECOS PAC ID: 0345674545 Enrollment ID: I20191220002309 |
| Provider Name | Christina R Eng |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831379049 PECOS PAC ID: 3971937178 Enrollment ID: I20191220002372 |
| Provider Name | Ashley J Makins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982985198 PECOS PAC ID: 9234563438 Enrollment ID: I20191220002408 |
| Provider Name | Melissa L Ferguson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598291874 PECOS PAC ID: 6507290707 Enrollment ID: I20191220002440 |
| Provider Name | Heidi Ana Carpenter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255724977 PECOS PAC ID: 0143654228 Enrollment ID: I20191224000315 |
| Provider Name | Lindsi L Marsh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942531884 PECOS PAC ID: 6507290699 Enrollment ID: I20191226000203 |
| Provider Name | Madelaine Walker Heath |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407353287 PECOS PAC ID: 6901230028 Enrollment ID: I20191226001342 |
| Provider Name | Clint M Saxton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215916820 PECOS PAC ID: 5496189433 Enrollment ID: I20191227000141 |
| Provider Name | Danielle E Agins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205480894 PECOS PAC ID: 4082048012 Enrollment ID: I20191230001627 |
| Provider Name | Shannon Laura Dalley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699800508 PECOS PAC ID: 1951735711 Enrollment ID: I20200102002475 |
| Provider Name | Sarah A Watza |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700214103 PECOS PAC ID: 1456785054 Enrollment ID: I20200107000207 |
| Provider Name | Emily Anne Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760985113 PECOS PAC ID: 1355775990 Enrollment ID: I20200107001758 |
| Provider Name | Jenny Clark |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699890970 PECOS PAC ID: 3870557515 Enrollment ID: I20200116000027 |
| Provider Name | Christina Monique Carrizoza |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255467122 PECOS PAC ID: 8628403862 Enrollment ID: I20200116002846 |
| Provider Name | Nadine Elisabeth Finnefrock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952500829 PECOS PAC ID: 3375970254 Enrollment ID: I20200305002881 |
| Provider Name | Nicole S Keefe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619118320 PECOS PAC ID: 0840629663 Enrollment ID: I20200330003705 |
| Provider Name | Alyssa Rose Bauman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699329326 PECOS PAC ID: 4880023092 Enrollment ID: I20200408003294 |
| Provider Name | Kathryn Elena Croft |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609168582 PECOS PAC ID: 5193154250 Enrollment ID: I20200411000377 |
| Provider Name | Michelle N Baum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942644794 PECOS PAC ID: 5698104750 Enrollment ID: I20200412000012 |
| Provider Name | Maura Frances Whetstone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821458589 PECOS PAC ID: 2264862267 Enrollment ID: I20200415000010 |
| Provider Name | Wendy Shoup Betts |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255487963 PECOS PAC ID: 4284064189 Enrollment ID: I20200416001824 |
| Provider Name | Annette M Canella |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962708099 PECOS PAC ID: 9133559784 Enrollment ID: I20200422000568 |
| Provider Name | Angela Wiltse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376178301 PECOS PAC ID: 5597195818 Enrollment ID: I20200428000889 |
| Provider Name | Amy Gallagher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184748170 PECOS PAC ID: 6709979545 Enrollment ID: I20200429002817 |
| Provider Name | Courtney Lucero |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780916676 PECOS PAC ID: 8921438193 Enrollment ID: I20200501000368 |
| Provider Name | Natalie Coryn Garland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386766103 PECOS PAC ID: 5799115960 Enrollment ID: I20200501000606 |
| Provider Name | Lisa Miserendino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063898062 PECOS PAC ID: 5496185670 Enrollment ID: I20200501000829 |
| Provider Name | Brian Colvin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790957728 PECOS PAC ID: 3274611504 Enrollment ID: I20200526001447 |
| Provider Name | Gretchen Alane Scheurich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578961033 PECOS PAC ID: 7416378245 Enrollment ID: I20200603003052 |
| Provider Name | Rachel Shatto |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922557339 PECOS PAC ID: 9234551151 Enrollment ID: I20200623002309 |
| Provider Name | Amanda Kay Shows |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932472115 PECOS PAC ID: 4688098684 Enrollment ID: I20200723001576 |
| Provider Name | Francis Hinton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164974804 PECOS PAC ID: 7719302025 Enrollment ID: I20200804001562 |
| Provider Name | Kendra Mitchell Schaner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083902910 PECOS PAC ID: 6103241229 Enrollment ID: I20200806002946 |
| Provider Name | Candace Rika Minami |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235548587 PECOS PAC ID: 7810312865 Enrollment ID: I20200807000514 |
| Provider Name | Annette Michelle Gajda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851581623 PECOS PAC ID: 1658797238 Enrollment ID: I20200813000261 |
| Provider Name | Linda Jo Wilkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386869675 PECOS PAC ID: 2961828140 Enrollment ID: I20200818004115 |
| Provider Name | Anna Price |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962801670 PECOS PAC ID: 3870910664 Enrollment ID: I20200825001381 |
| Provider Name | Amy R Demeuse |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467516153 PECOS PAC ID: 3072923192 Enrollment ID: I20201031000036 |
| Provider Name | Stephanie A Tauke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679038970 PECOS PAC ID: 0446660013 Enrollment ID: I20201110002707 |
| Provider Name | Shirley Renee Muhammad |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194980185 PECOS PAC ID: 6608286042 Enrollment ID: I20201113000948 |
| Provider Name | Meredith Ann Brennan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982880886 PECOS PAC ID: 8022429463 Enrollment ID: I20201116002244 |
| Provider Name | Tana Wiebers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023234895 PECOS PAC ID: 2062823552 Enrollment ID: I20201207000119 |
| Provider Name | Donald R Hosenfeld |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205057189 PECOS PAC ID: 6406268366 Enrollment ID: I20201217000940 |
| Provider Name | Darius Redmond |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427666833 PECOS PAC ID: 1557773447 Enrollment ID: I20201217002136 |
| Provider Name | Olumayowa Ot Enoma |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942653761 PECOS PAC ID: 3274945084 Enrollment ID: I20201221001891 |
| Provider Name | Robyn Kaye Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255483228 PECOS PAC ID: 8527471572 Enrollment ID: I20210112000395 |
| Provider Name | James Noga |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1083103923 PECOS PAC ID: 9537575519 Enrollment ID: I20210317002171 |
| Provider Name | Ashley Chow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518555374 PECOS PAC ID: 4688074933 Enrollment ID: I20210608003703 |
| Provider Name | Heidi Renae Deary |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134773914 PECOS PAC ID: 3476953670 Enrollment ID: I20210609002099 |
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