| Alexa Buckley, MA CCC SLP | |
|
42804 Garfield Rd, Clinton Township, MI 48038-1656 | |
| (586) 323-2957 | |
| Not Available |
| Full Name | Alexa Buckley |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 42804 Garfield Rd, Clinton Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700646783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101008802 (Michigan) | Primary |
| Provider Name | Crawl Walk Jump Run Therapy Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730363573 PECOS PAC ID: 5294747002 Enrollment ID: O20060619000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Buckley, MA CCC SLP 30121 Raintree Cir, Chesterfield, MI 48047-4666 Ph: () - | Alexa Buckley, MA CCC SLP 42804 Garfield Rd, Clinton Township, MI 48038-1656 Ph: (586) 323-2957 |
Sarah Renee Puvalowski, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 36358 Garfield Rd Ste 2, Clinton Township, MI 48035 Phone: 586-221-0705 | |
Samantha Wolford, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 42804 Garfield Rd, Clinton Township, MI 48038 Phone: 586-323-2957 Fax: 586-323-0022 | |
Jansen Rodgers, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 15930 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-286-9644 | |
Deanna Kuznia, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2522 | |
Ramadevi Sukumar, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 37700 Harper Ave, Clinton Township, MI 48036 Phone: 586-468-0827 Fax: 586-468-1475 | |
Amanda Ruth Camp, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17001 17 Mile Rd, Clinton Township, MI 48038 Phone: 586-286-7100 | |
Kristin Barbara Frontczak, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 42804 Garfield Rd, Clinton Township, MI 48038 Phone: 586-323-2957 |