Amanda Louise Davis, MS, CCC-SLP | |
701 Willow St, Peshtigo, WI 54157-1165 | |
(715) 582-3962 | |
Not Available |
Full Name | Amanda Louise Davis |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 701 Willow St, Peshtigo, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326254392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 2377-154 (Wisconsin) | Primary |
Provider Name | Fox Rehabilitation Services Wi Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
Provider Name | Oasis Therapy Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20220706002370 |
Mailing Address | Practice Location Address |
---|---|
Amanda Louise Davis, MS, CCC-SLP 379 Chase Ave, De Pere, WI 54115-4053 Ph: (920) 819-2933 | Amanda Louise Davis, MS, CCC-SLP 701 Willow St, Peshtigo, WI 54157-1165 Ph: (715) 582-3962 |
Brynn Crawley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Willow St, Peshtigo, WI 54157 Phone: 715-582-0144 Fax: 715-582-0803 | |
Rachel M Erhart, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Willow St, Peshtigo, WI 54157 Phone: 715-582-2247 | |
Michelle Vande Hei Mcvane, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Willow St, Peshtigo, WI 54157 Phone: 715-582-3962 | |
Mollie Hartwig, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Willow St, Peshtigo, WI 54157 Phone: 715-582-3962 Fax: 715-582-0803 | |
Kaitlyn M Anderla, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Willow Street, Peshtigo, WI 54157 Phone: 715-582-0144 Fax: 715-582-0833 |