Amanda Kwiatkowski, | |
22 Waonahele Pl, Haiku, HI 96708-5046 | |
(916) 708-6042 | |
Not Available |
Full Name | Amanda Kwiatkowski |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 22 Waonahele Pl, Haiku, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588227292 | NPI | - | NPPES |
1558046979 | Other | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Freedom Speech-language Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558046979 PECOS PAC ID: 5890158083 Enrollment ID: O20230906001678 |
Mailing Address | Practice Location Address |
---|---|
Amanda Kwiatkowski, Po Box 81649, Haiku, HI 96708-1649 Ph: () - | Amanda Kwiatkowski, 22 Waonahele Pl, Haiku, HI 96708-5046 Ph: (916) 708-6042 |
Mckenzie Sluggett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 221 Apuwai St, Haiku, HI 96708 Phone: 808-359-4762 | |
Freedom Speech-language Therapy Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 22 Waonahele Pl, Haiku, HI 96708 Phone: 916-708-6042 | |
Alexis Hill, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2360 Umi Pl, Haiku, HI 96708 Phone: 808-280-7107 |