Jaclyn Walton, | |
16695 Chillicothe Rd, Chagrin Falls, OH 44023-4578 | |
(440) 543-4221 | |
Not Available |
Full Name | Jaclyn Walton |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 16695 Chillicothe Rd, Chagrin Falls, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215583810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10107 (Ohio) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Walton, 8291 Cedar Rd, Chesterland, OH 44026-3509 Ph: (440) 840-1712 | Jaclyn Walton, 16695 Chillicothe Rd, Chagrin Falls, OH 44023-4578 Ph: (440) 543-4221 |
Angela Gotora, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 150 Cleveland St, Chagrin Falls, OH 44022 Phone: 440-247-4200 | |
Mrs. Jennifer Miller Heiman, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17106 Sunset Dr, Chagrin Falls, OH 44023 Phone: 440-708-3549 | |
Mrs. Laura Flaiz, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17425 Snyder Rd, Chagrin Falls, OH 44023 Phone: 440-543-3013 | |
Mary Trimm, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9595 Washington St, Chagrin Falls, OH 44023 Phone: 440-543-9380 | |
Darlene Reinholz, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45125 Fairmount Blvd, Chagrin Falls, OH 44022 Phone: 440-423-0206 | |
Laura Desantis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9595 Washington St, Chagrin Falls, OH 44023 Phone: 440-543-9380 |