Amy B Avena, MA, CCC-SLP | |
31815 Southfield Rd Ste 15, Beverly Hills, MI 48025-5471 | |
(248) 885-8240 | |
Not Available |
Full Name | Amy B Avena |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 31815 Southfield Rd Ste 15, Beverly Hills, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891140133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101004882 (Michigan) | Primary |
Provider Name | Small Talk Centers Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356876288 PECOS PAC ID: 5890069314 Enrollment ID: O20170922000735 |
Mailing Address | Practice Location Address |
---|---|
Amy B Avena, MA, CCC-SLP 2215 E University Ave, Royal Oak, MI 48067-2329 Ph: (231) 590-9136 | Amy B Avena, MA, CCC-SLP 31815 Southfield Rd Ste 15, Beverly Hills, MI 48025-5471 Ph: (248) 885-8240 |
Lindsay Hords, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd, Beverly Hills, MI 48025 Phone: 248-703-3070 | |
Small Talk Centers Pllc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 31815 Southfield Rd, Suite 11, Beverly Hills, MI 48025 Phone: 248-506-9867 Fax: 248-885-8270 | |
Samantha Robbins, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16016 Dunblaine Ave, Beverly Hills, MI 48025 Phone: 734-215-5620 | |
Moranda Marina Yaldo, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd Ste 15, Beverly Hills, MI 48025 Phone: 248-885-8240 Fax: 248-885-8270 | |
Jennifer Lauren Fantich, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd Ste 11, Beverly Hills, MI 48025 Phone: 248-506-9867 Fax: 248-885-8270 | |
Mary Ann Derkacz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd Ste 15, Beverly Hills, MI 48025 Phone: 248-885-8240 | |
Tina Sappington, MA-CCC Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 31815 Southfield Rd, Suite 11, Beverly Hills, MI 48025 Phone: 248-760-2194 |