| Angela Beaudoin, | |
|
7711 Freeland Ct, Greendale, WI 53129-1658 | |
| (414) 210-0088 | |
| (414) 509-1630 |
| Full Name | Angela Beaudoin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7711 Freeland Ct, Greendale, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609049600 | NPI | - | NPPES |
| 42568200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Therapy At Home Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477900561 PECOS PAC ID: 0244522217 Enrollment ID: O20160712001760 |
| Provider Name | Muslim Community And Health Center Of Wisconsin Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962850768 PECOS PAC ID: 7618258062 Enrollment ID: O20161227001392 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Beaudoin, 7711 Freeland Ct, Greendale, WI 53129-1658 Ph: (414) 210-0088 | Angela Beaudoin, 7711 Freeland Ct, Greendale, WI 53129-1658 Ph: (414) 210-0088 |
Samantha Jean Walczak, CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5404 W Loomis Rd, Greendale, WI 53129 Phone: 414-421-0088 | |
Kimberly L Neville, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5404 W Loomis Rd, Greendale, WI 53129 Phone: 414-421-0088 | |
Sally Jo Radka, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5678 Garland Ln, Greendale, WI 53129 Phone: 414-427-0562 | |
Alyssia Altobelli, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5700 Mockingbird Ln, Greendale, WI 53129 Phone: 414-421-9600 | |
Megan Rose Wirth, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 7711 Freeland Ct, Greendale, WI 53129 Phone: 414-210-0088 Fax: 414-509-1630 | |
Anne Marie Markofski, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 7711 Freeland Ct, Greendale, WI 53129 Phone: 414-210-0088 Fax: 414-509-1630 |