| Faye Boldwyn-stephens, | |
|
208 Zachery Dr, Mount Vernon, IL 62864-6712 | |
| (618) 204-5497 | |
| Not Available |
| Full Name | Faye Boldwyn-stephens |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 208 Zachery Dr, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679778344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Illinois) | Primary |
| Provider Name | Comprehensive Therapeutics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Faye Boldwyn-stephens, 11123 E Idlewood Rd, Mount Vernon, IL 62864-7678 Ph: (618) 244-6208 | Faye Boldwyn-stephens, 208 Zachery Dr, Mount Vernon, IL 62864-6712 Ph: (618) 204-5497 |
Mrs. Casey Ryan, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 N 30th St, Mount Vernon, IL 62864 Phone: 618-244-8068 | |
Andrea Lynn Adams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15691 E Country Meadows Rd, Mount Vernon, IL 62864 Phone: 618-214-5521 | |
Nikia Hollenkamp-rudd, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 703 S 12th St, Mount Vernon, IL 62864 Phone: 618-316-3151 | |
Jamie Renee Cole, M.S., SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15678 E Blackward Ln, Mount Vernon, IL 62864 Phone: 618-242-4582 Fax: 618-242-4582 | |
Susan Guthrie, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14975 E Bakerville Rd, Mount Vernon, IL 62864 Phone: 618-244-8070 | |
Mrs. Glenda Ann Raby, MS., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1118 Fairfield Rd, Mount Vernon, IL 62864 Phone: 618-244-8079 Fax: 618-244-8078 | |
Justine Thole, S.T. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 N 12th St, Mount Vernon, IL 62864 Phone: 618-436-8640 |