Amanda Lopez, | |
711 Darby Ct Apt 205, Longmont, CO 80501-5076 | |
(612) 770-1709 | |
Not Available |
Full Name | Amanda Lopez |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 711 Darby Ct Apt 205, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043925944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP.0005036 (Colorado) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164620084 PECOS PAC ID: 2163339722 Enrollment ID: O20200204000475 |
Mailing Address | Practice Location Address |
---|---|
Amanda Lopez, 711 Darby Ct Apt 205, Longmont, CO 80501-5076 Ph: (612) 770-1709 | Amanda Lopez, 711 Darby Ct Apt 205, Longmont, CO 80501-5076 Ph: (612) 770-1709 |
Scarlet Larkin Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 519 Emery St, Longmont, CO 80501 Phone: 303-702-0091 Fax: 303-702-0108 | |
Amy Hamilton Thrasher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 Korte Way, Longmont, CO 80501 Phone: 303-776-7417 | |
Gretel Lys Bey, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 163 Donovan Ct, Longmont, CO 80501 Phone: 303-682-2645 | |
Chad Hunter Grossman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 Ken Pratt Blvd Ste 120-1005, Longmont, CO 80501 Phone: 215-262-6937 | |
Mrs. Shannon Leah Turley, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Ken Pratt Blvd Ste 106, Longmont, CO 80501 Phone: 970-231-0745 | |
Beth Legg, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 820 Main St, Longmont, CO 80501 Phone: 303-702-7806 |