Jill Ligon Davis, | |
1169 Eastern Pkwy Ste 3358, Louisville, KY 40217-1415 | |
(502) 508-9588 | |
(502) 653-0396 |
Full Name | Jill Ligon Davis |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1169 Eastern Pkwy Ste 3358, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952975294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 138555 (Kentucky) | Primary |
Provider Name | Blossom Neuro Speech & Wellness, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932848108 PECOS PAC ID: 3870979529 Enrollment ID: O20221003002644 |
Mailing Address | Practice Location Address |
---|---|
Jill Ligon Davis, 1169 Eastern Pkwy Ste 3358, Louisville, KY 40217-1415 Ph: () - | Jill Ligon Davis, 1169 Eastern Pkwy Ste 3358, Louisville, KY 40217-1415 Ph: (502) 508-9588 |
Samantha Hii, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Mrs. Lauren Elizabeth Ewing, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Paragon Rehabilitation, Louisville, KY 40299 Phone: 800-335-1060 | |
Laura Kaye Hamdani, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Amy L Scott, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Stephanie Jill Dyer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3920 Dutchmans Ln, Louisville, KY 40207 Phone: 502-259-6608 | |
Kymberly Jean Pennington, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Joyce M Wooldridge, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1410 Long Run Rd, Louisville, KY 40245 Phone: 502-244-8011 |