Alexa Jean Anderson, | |
1101 Jo Jo Rd, Kane, PA 16735-3415 | |
(814) 558-2495 | |
Not Available |
Full Name | Alexa Jean Anderson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1101 Jo Jo Rd, Kane, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972086817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | SLP012503 (Georgia) | Primary |
Provider Name | Kids Choice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568798544 PECOS PAC ID: 3779717137 Enrollment ID: O20131018000230 |
Mailing Address | Practice Location Address |
---|---|
Alexa Jean Anderson, 1101 Jo Jo Rd, Kane, PA 16735-3415 Ph: (814) 558-2495 | Alexa Jean Anderson, 1101 Jo Jo Rd, Kane, PA 16735-3415 Ph: (814) 558-2495 |
Jeannine Kelley, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 High Point Dr, Kane, PA 16735 Phone: 814-837-6706 | |
Brittany Ziegler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 23 Laurel Ave, Kane, PA 16735 Phone: 814-598-4810 | |
Connie Gasbarre, MS-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 High Point Dr, Kane, PA 16735 Phone: 814-837-6706 Fax: 814-837-6075 | |
Anna Janel Fernan, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 High Point Dr, Kane, PA 16735 Phone: 814-837-6706 | |
Kassandra Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 High Point Dr, Kane, PA 16735 Phone: 670-681-4837 | |
Courtney Kline, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 High Point Dr, Kane, PA 16735 Phone: 814-837-6706 | |
Ms. Jere Agnes Edel, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 High Point Dr, Kane, PA 16735 Phone: 814-837-6706 Fax: 814-837-9205 |