| Jennifer Renee Rivers, CCC-SLP | |
|
1350 S King St Ste 307, Honolulu, HI 96814-2008 | |
| (808) 809-8057 | |
| Not Available |
| Full Name | Jennifer Renee Rivers |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1350 S King St Ste 307, Honolulu, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639470875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA8840 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | 12080602 (* (Not Available)) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225799182 PECOS PAC ID: 2365359932 Enrollment ID: O20220221000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Renee Rivers, CCC-SLP 204b Marine Barracks Way, Honolulu, HI 96818-5012 Ph: (904) 891-5577 | Jennifer Renee Rivers, CCC-SLP 1350 S King St Ste 307, Honolulu, HI 96814-2008 Ph: (808) 809-8057 |
Lauren Marie Eudoxie, M.SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 Kapiolani Blvd, Honolulu, HI 96813 Phone: 808-596-4650 | |
Jacquelyn Jarachovic, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1519 Queen Emma St, Honolulu, HI 96813 Phone: 808-587-4510 | |
Shauna Ainuu, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 710 Green St, Honolulu, HI 96813 Phone: 808-536-3764 | |
Maria Jordan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 22nd Ave Rm 127, Honolulu, HI 96816 Phone: 808-733-4940 | |
Tina Thanh Huong Le, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 22nd Ave # 302, Honolulu, HI 96816 Phone: 808-305-9750 Fax: 808-733-9154 | |
Marissa Lyn Cheape, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 22nd Ave Rm 127, Honolulu, HI 96816 Phone: 808-627-7300 | |
Mrs. Christie Eiko Hoota Iraha, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 22nd Ave Rm 127, Honolulu, HI 96816 Phone: 808-282-2333 |