Deborah J Wise, | |
701 Camino Del Rio Ste 221, Durango, CO 81301-5466 | |
(970) 247-3261 | |
Not Available |
Full Name | Deborah J Wise |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 701 Camino Del Rio Ste 221, Durango, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093289209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP.0004022 (Colorado) | Primary |
Provider Name | Lawrence Speech And Hearing Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174896872 PECOS PAC ID: 2365842614 Enrollment ID: O20210609000028 |
Mailing Address | Practice Location Address |
---|---|
Deborah J Wise, 35811 Road P.6, Mancos, CO 81328-8760 Ph: (970) 394-0090 | Deborah J Wise, 701 Camino Del Rio Ste 221, Durango, CO 81301-5466 Ph: (970) 247-3261 |
Mrs. Julia Medlock, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 434 Turner Dr Ste 1, Durango, CO 81303 Phone: 941-518-0031 | |
Kimberly Hixon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 E 12th St, Durango, CO 81301 Phone: 970-247-5411 | |
Mrs. Cathlin Elizabeth Burns, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 E 12th St, Durango, CO 81301 Phone: 970-946-3190 | |
Ms. Sandra Koenig, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: San Juan Board Of Cooperative Education Services (boces, 701 Camino Del Rio Suite 221, Durango, CO 81301 Phone: 970-247-3261 | |
Joanne Christine Rhodus, SLP, BCBA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Riverview Dr, Durango, CO 81301 Phone: 970-903-7736 | |
Tiffany Ogden, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Camino Del Rio Ste 221, Durango, CO 81301 Phone: 970-247-3261 |