Hannah Blackwell, SLP | |
2450 44th St Se Ste 201, Kentwood, MI 49512-9081 | |
(616) 528-0870 | |
Not Available |
Full Name | Hannah Blackwell |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2450 44th St Se Ste 201, Kentwood, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285344853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101008530 (Michigan) | Primary |
Provider Name | Duncan Lake Speech Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376195925 PECOS PAC ID: 6305258203 Enrollment ID: O20201217002575 |
Mailing Address | Practice Location Address |
---|---|
Hannah Blackwell, SLP 2447 Normandy Dr Se, Grand Rapids, MI 49506-5434 Ph: (734) 855-5108 | Hannah Blackwell, SLP 2450 44th St Se Ste 201, Kentwood, MI 49512-9081 Ph: (616) 528-0870 |
Mrs. Anne Marie Aurand, MA SLP-CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4707 John C Ct Se, Kentwood, MI 49508 Phone: 616-281-4779 | |
Breanna Leigh Allor, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 617 52nd St Se, Kentwood, MI 49548 Phone: 616-288-8881 | |
Madissen Anne Vacha, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870 Fax: 616-591-5684 | |
Alyssa Misiak, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870 Fax: 616-591-5684 | |
Caitlin Joan Reyes Cordero, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870 | |
Michelle Meyer Essenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1423 60th St Se, Kentwood, MI 49508 Phone: 616-445-3535 |