Effective Therapy Llc | |
6131 N 27th Ave Apt 2014, Phoenix, AZ 85017-1756 | |
(602) 805-7305 | |
Not Available |
Full Name | Effective Therapy Llc |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 6131 N 27th Ave Apt 2014, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053069070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Dmitri Tartsakov |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1669957551 PECOS PAC ID: 8921436288 Enrollment ID: I20210212000411 |
Mailing Address | Practice Location Address |
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Effective Therapy Llc 6131 N 27th Ave Apt 2014, Phoenix, AZ 85017-1756 Ph: (602) 805-7305 | Effective Therapy Llc 6131 N 27th Ave Apt 2014, Phoenix, AZ 85017-1756 Ph: (602) 805-7305 |
Monica Fales, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1817 N 7th St, Phoenix, AZ 85006 Phone: 602-257-3755 | |
Susan E Krantz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20402 N 15th Ave, Phoenix, AZ 85027 Phone: 623-445-4952 Fax: 623-445-5079 | |
Rebecca Mathews, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 E Muriel Dr, Phoenix, AZ 85022 Phone: 602-350-1145 | |
Berit Bilquist, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-368-8601 | |
Miss Katheryn Reifer, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4417 N 66th Ave, Phoenix, AZ 85033 Phone: 623-691-2548 | |
Amelia Liliana Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 E Grovers Ave, Phoenix, AZ 85032 Phone: 602-449-5200 | |
Kelsey Rae Benjaminson, SLPA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20033 N 19th Ave Ste 121, Phoenix, AZ 85027 Phone: 602-875-5616 Fax: 623-227-2030 |