| Advanced Dysphagia Diagnostics Llc | |
|
206 Main St, Shippenville, PA 16254-3906 | |
| (909) 213-5967 | |
| (509) 356-4607 |
| Full Name | Advanced Dysphagia Diagnostics Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 206 Main St, Shippenville, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891339156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dysphagia Diagnostics Llc 2233 E Main St, Montrose, CO 81401-3831 Ph: (970) 765-0818 | Advanced Dysphagia Diagnostics Llc 206 Main St, Shippenville, PA 16254-3906 Ph: (909) 213-5967 |
Sandra Ellen Clark, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 242 Maple Dr, Shippenville, PA 16254 Phone: 814-782-6342 | |
Krista Weber, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 Sycamore Dr, Shippenville, PA 16254 Phone: 814-223-4649 | |
Melissa Sue Pore, CCC/SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 21158 Paint Blvd, Shippenville, PA 16254 Phone: 814-227-9166 | |
Mrs. Courtney Lyn Lewis, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Bigley Rd, Shippenville, PA 16254 Phone: 724-747-3038 |