| Functional Oral Motor And Feeding Concepts Llc | |
|
6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| (260) 438-3586 | |
| (260) 432-7046 |
| Full Name | Functional Oral Motor And Feeding Concepts Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 6205 Constitution Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952665416 | NPI | - | NPPES |
| 200681320A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Indiana) | Primary |
| Provider Name | Kimberly A Griffith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033393079 PECOS PAC ID: 1951663848 Enrollment ID: I20180312001865 |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Oral Motor And Feeding Concepts Llc 6025 Constitution Dr, Fort Wayne, IN 46804 Ph: (260) 438-3586 | Functional Oral Motor And Feeding Concepts Llc 6205 Constitution Dr, Fort Wayne, IN 46804-1517 Ph: (260) 438-3586 |
Michelle A Ludlow, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845 Phone: 260-338-1241 Fax: 260-338-1231 | |
Josie Lyn Johnson, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5250 Heritage Pkwy, Fort Wayne, IN 46835 Phone: 260-209-6279 | |
Linda Sue Sickman, PH.D., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1717 Maplecrest Rd, Fort Wayne, IN 46815 Phone: 260-493-0012 | |
Jennifer Lynn Garrett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6329 Mapledowns Dr, Fort Wayne, IN 46835 Phone: 260-433-7903 | |
Jennifer Wilson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845 Phone: 260-338-1241 Fax: 260-338-1231 | |
Mrs. Toni Walker Blackwood, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1923 Brandywine Trl, Fort Wayne, IN 46845 Phone: 260-637-3117 | |
Mrs. Kimberly A Griffith, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6205 Constitution Dr, Fort Wayne, IN 46804 Phone: 260-438-3586 Fax: 877-992-0273 |