| Jamie Lynn Petersen, | |
|
1400 S Dobson Rd, Mesa, AZ 85202-4707 | |
| (480) 412-7724 | |
| Not Available |
| Full Name | Jamie Lynn Petersen |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1400 S Dobson Rd, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407318819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP10183 (Arizona) | Primary |
| Provider Name | Bhsm Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497271431 PECOS PAC ID: 2062773138 Enrollment ID: O20180306002185 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Lynn Petersen, 1400 S Dobson Rd, Mesa, AZ 85202-4707 Ph: () - | Jamie Lynn Petersen, 1400 S Dobson Rd, Mesa, AZ 85202-4707 Ph: (480) 412-7724 |
Jenna Marie Ramsey, B.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4925 E Ingram St, Mesa, AZ 85205 Phone: 480-472-8522 | |
Kristy K Brown, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212 Phone: 480-358-6767 Fax: 480-358-6885 | |
Lindsay Deanna Blaire, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 738 S Longmore, Mesa, AZ 85202 Phone: 480-472-4370 | |
Annette G Mahan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1025 N Country Club Dr, Mesa, AZ 85201 Phone: 480-472-0502 Fax: 480-472-0705 | |
Ms. Marjorie Arlene Wingfield, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2246 S Cottonwood, Mesa, AZ 85202 Phone: 480-730-1747 | |
Vivian Rodriguez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 121 N Warren St, Mesa, AZ 85207 Phone: 623-414-8221 | |
Kathryn Cantrill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1025 N Country Club Dr, Mesa, AZ 85201 Phone: 480-472-0500 |