| Amber R Fox, MS CCC-SLP | |
|
2625 N 19th St, Bismarck, ND 58503-0574 | |
| (701) 222-3175 | |
| (701) 222-3186 |
| Full Name | Amber R Fox |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2625 N 19th St, Bismarck, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750566618 | NPI | - | NPPES |
| 1465122 | Medicaid | ND | |
| 969 | Other | ND | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 969 (North Dakota) | Primary |
| Provider Name | Red Door Pediatric Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639257033 PECOS PAC ID: 9739571647 Enrollment ID: O20220126000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber R Fox, MS CCC-SLP 2625 N 19th St, Bismarck, ND 58503-0574 Ph: (701) 222-3175 | Amber R Fox, MS CCC-SLP 2625 N 19th St, Bismarck, ND 58503-0574 Ph: (701) 222-3175 |
Mrs. Kelli Katharina Ellenbaum, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2625 N 19th St, Bismarck, ND 58503 Phone: 701-222-3175 Fax: 701-222-3186 | |
Sierra Larae Burgess, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 210 S 12th St, Bismarck, ND 58504 Phone: 701-222-3175 Fax: 701-222-3186 | |
Rebecca Mcgillivray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 720 N 14th St, Bismarck, ND 58501 Phone: 701-323-4400 | |
Linaya Ming, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 N 19th St, Bismarck, ND 58503 Phone: 701-222-3175 Fax: 701-222-3186 | |
Donna Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-323-4028 Fax: 701-323-4027 | |
Kourtney Carr, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-323-4028 Fax: 701-323-4027 | |
Breanna Moritz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 E Interstate Ave, Bismarck, ND 58503 Phone: 701-751-1125 |