Brooke Shively, SLP-CCC | |
1377 11th St Nw, Clinton, IA 52732-5068 | |
(563) 241-4230 | |
(563) 241-4233 |
Full Name | Brooke Shively |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1377 11th St Nw, Clinton, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992244073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 081145 (Iowa) | Primary |
Provider Name | Comprehensive Rehab Incorporated |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386655272 PECOS PAC ID: 0840289633 Enrollment ID: O20040507000792 |
Mailing Address | Practice Location Address |
---|---|
Brooke Shively, SLP-CCC 1377 11th St Nw, Clinton, IA 52732-5068 Ph: (563) 241-4230 | Brooke Shively, SLP-CCC 1377 11th St Nw, Clinton, IA 52732-5068 Ph: (563) 241-4230 |
Jessica Nedved, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1377 11th St Nw, Clinton, IA 52732 Phone: 563-241-4230 Fax: 563-519-4235 | |
Mrs. Lanore Lavern Guillory, MED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2713 N 13th St, Clinton, IA 52732 Phone: 563-243-4159 | |
Emily Virginia O'berski, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1377 11th St Nw, Clinton, IA 52732 Phone: 563-241-4230 Fax: 563-241-4233 | |
Sarah Ashland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1377 11th St Nw, Clinton, IA 52732 Phone: 563-241-4230 Fax: 563-519-4235 | |
Samantha Bryant, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 28th Ave N, Clinton, IA 52732 Phone: 563-243-6600 | |
Ashley Rolf, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1377 11th St Nw, Clinton, IA 52732 Phone: 563-241-4230 | |
Cynthia Ann Winter, MA CCCSLP ATP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2320 N 2nd St, Clinton, IA 52732 Phone: 563-243-2285 Fax: 563-243-2293 |