Chinonyelum Nwokedi, | |
310 Wayne St, Beaver, PA 15009 | |
(724) 774-2677 | |
(724) 774-0821 |
Full Name | Chinonyelum Nwokedi |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 310 Wayne St, Beaver, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306181623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SL011184 (Pennsylvania) | Secondary |
235Z00000X | Speech-language Pathologist | 110935 (Texas) | Primary |
Provider Name | Prospera Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467228411 PECOS PAC ID: 2860839099 Enrollment ID: O20240325000849 |
Mailing Address | Practice Location Address |
---|---|
Chinonyelum Nwokedi, 8877 Frankway Dr Apt 1126, Houston, TX 77096-1913 Ph: (412) 360-9493 | Chinonyelum Nwokedi, 310 Wayne St, Beaver, PA 15009 Ph: (724) 774-2677 |
Mrs. Janet Lynn Logan, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1165 7th St, Beaver, PA 15009 Phone: 724-775-4326 | |
Georgia Lee Lough, MA CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 138 Friendship Cir, Beaver, PA 15009 Phone: 724-774-6494 | |
Lauren Pier, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1134 4th St, Beaver, PA 15009 Phone: 724-683-9662 | |
Miss Jeanine M Mizikar, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 Wayne Street, Beaver, PA 15009 Phone: 724-774-2677 | |
Lisa Marie Sutter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 Wayne St, Beaver, PA 15009 Phone: 724-728-0440 | |
Ms. Jill Marie Gilarno, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1607 3rd St, Beaver, PA 15009 Phone: 724-728-8400 |