| Bloomington Pediatric Speech Therapy Llc | |
|
1441 S Fenbrook Ln, Suite 400d, Bloomington, IN 47401-4176 | |
| (646) 298-5246 | |
| Not Available |
| Full Name | Bloomington Pediatric Speech Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1441 S Fenbrook Ln, Bloomington, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902143076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22005155A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Pediatric Speech Therapy Llc 1441 S Fenbrook Ln, Suite 400d, Bloomington, IN 47401-4176 Ph: (646) 298-5246 | Bloomington Pediatric Speech Therapy Llc 1441 S Fenbrook Ln, Suite 400d, Bloomington, IN 47401-4176 Ph: (646) 298-5246 |
Daniel Fogerty, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 N Bell Trace Cir, Bloomington, IN 47408 Phone: 812-323-2858 | |
Ms. Bettina R Manuel, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3021 E Tapps Turn, Bloomington, IN 47401 Phone: 812-322-7771 Fax: 812-855-5561 | |
Ms. Melanie Jill Mazur, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S Jordan Ave, Bloomington, IN 47405 Phone: 812-855-3605 | |
Lillian Martindale, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 443 S Landmark Ave, Bloomington, IN 47403 Phone: 812-676-7000 | |
Bell Trace Health And Living Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 N Bell Trace Cir, Bloomington, IN 47408 Phone: 812-323-2858 Fax: 812-323-2854 | |
Doreen Dotlich Devitt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Curry Pike, Bloomington, IN 47403 Phone: 812-330-6700 | |
Chelsea Silverman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2455 N Tamarack Trl, Bloomington, IN 47408 Phone: 812-336-7060 |