| Mrs Amanda Frissell, MS, CCC-SLP | |
|
5941 Fishhawk Crossing Blvd, Lithia, FL 33547-5885 | |
| (813) 217-1525 | |
| Not Available |
| Full Name | Mrs Amanda Frissell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 5941 Fishhawk Crossing Blvd, Lithia, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235469891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA10963 (Florida) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Frissell, MS, CCC-SLP 5941 Fishhawk Crossing Blvd, Lithia, FL 33547-5885 Ph: (813) 217-1525 | Mrs Amanda Frissell, MS, CCC-SLP 5941 Fishhawk Crossing Blvd, Lithia, FL 33547-5885 Ph: (813) 217-1525 |
Donna M Poth, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5920 Beaconpark St, Lithia, FL 33547 Phone: 813-413-7785 Fax: 407-386-7132 | |
Jhenna Rae Cross, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6131 Skylarkcrest Dr, Lithia, FL 33547 Phone: 810-247-0818 | |
Mrs. Barbara R Martin, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16916 Harrierridge Pl, Lithia, FL 33547 Phone: 813-504-7228 | |
Katie Laura Cafaro, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18116 Lithia Ranch Rd, Lithia, FL 33547 Phone: 813-846-4966 | |
Mara N Cannon-brooks, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5920 Beaconpark St, Lithia, FL 33547 Phone: 813-413-7785 Fax: 407-386-7132 | |
Mrs. Deborah Garrett Lawrence, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6324 Bridgevista Dr, Lithia, FL 33547 Phone: 813-817-5269 |