Gaylyn Short, | |
4725 Merle Hay Rd, Des Moines, IA 50322-1983 | |
(515) 331-3190 | |
(515) 331-3191 |
Full Name | Gaylyn Short |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4725 Merle Hay Rd, Des Moines, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962879619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 074689 (Iowa) | Primary |
Provider Name | Lifespan Therapy, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013679950 PECOS PAC ID: 4587053244 Enrollment ID: O20211118000804 |
Mailing Address | Practice Location Address |
---|---|
Gaylyn Short, 4725 Merle Hay Rd, 107, Des Moines, IA 50322-1983 Ph: () - | Gaylyn Short, 4725 Merle Hay Rd, Des Moines, IA 50322-1983 Ph: (515) 331-3190 |
Marci Paca, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4725 Merle Hay Rd Ste 207, Des Moines, IA 50322 Phone: 515-331-3190 | |
Michelle Anne Young, MA, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4911 Sw 19th St, Des Moines, IA 50315 Phone: 515-285-2559 Fax: 515-285-6487 | |
Jessica Boecker, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4725 Merle Hay Rd Ste 107, Des Moines, IA 50322 Phone: 515-331-3190 Fax: 515-331-3191 | |
Margaret Dedecker, OTD, OTR/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 644 24th St., Des Moines, IA 50312 Phone: 515-280-5332 Fax: 515-280-5446 | |
Stephanie Marie Carter, MA CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4725 Merle Hay Rd Ste 107, Des Moines, IA 50322 Phone: 515-331-3190 | |
Sharon Dreyer, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-4498 | |
Brooklyn Eileen Wendt, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2401 E 8th St, Des Moines, IA 50316 Phone: 828-297-6452 |