Amanda Lee, MS, CCC-SLP | |
24 Teke Burton Dr, Mitchell, IN 47446-7360 | |
(812) 849-2221 | |
Not Available |
Full Name | Amanda Lee |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 24 Teke Burton Dr, Mitchell, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225445216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 46002485A (Indiana) | Primary |
Provider Name | Lighthouse Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801367883 PECOS PAC ID: 8022350727 Enrollment ID: O20190429002824 |
Mailing Address | Practice Location Address |
---|---|
Amanda Lee, MS, CCC-SLP 1613 S Dorchester Dr, Bloomington, IN 47401-6645 Ph: (205) 919-5010 | Amanda Lee, MS, CCC-SLP 24 Teke Burton Dr, Mitchell, IN 47446-7360 Ph: (812) 849-2221 |
David B Sledge, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Teke Burton Dr, Mitchell, IN 47446 Phone: 812-849-2221 | |
Barbara Mchattie, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Teke Burton Dr, Mitchell, IN 47446 Phone: 812-849-2221 | |
Ms. Teresa Dawn Lee, M.S. CCC-SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1125 Dixie Hwy, Mitchell, IN 47446 Phone: 812-583-6414 Fax: 812-849-5225 |