Katelyn Marie Lewis, ST | |
605 N 12th St, Mount Vernon, IL 62864-2857 | |
(618) 436-8637 | |
(618) 436-8087 |
Full Name | Katelyn Marie Lewis |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 605 N 12th St, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528394335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 242001243 (Illinois) | Primary |
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Marie Lewis, ST Po Box 503927, St Louis, MO 63150-3927 Ph: (618) 436-8637 | Katelyn Marie Lewis, ST 605 N 12th St, Mount Vernon, IL 62864-2857 Ph: (618) 436-8637 |
Mrs. Casey Ryan, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 N 30th St, Mount Vernon, IL 62864 Phone: 618-244-8068 | |
Andrea Lynn Adams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15691 E Country Meadows Rd, Mount Vernon, IL 62864 Phone: 618-214-5521 | |
Nikia Hollenkamp-rudd, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 703 S 12th St, Mount Vernon, IL 62864 Phone: 618-316-3151 | |
Jamie Renee Cole, M.S., SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15678 E Blackward Ln, Mount Vernon, IL 62864 Phone: 618-242-4582 Fax: 618-242-4582 | |
Susan Guthrie, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14975 E Bakerville Rd, Mount Vernon, IL 62864 Phone: 618-244-8070 | |
Mrs. Glenda Ann Raby, MS., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1118 Fairfield Rd, Mount Vernon, IL 62864 Phone: 618-244-8079 Fax: 618-244-8078 | |
Justine Thole, S.T. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 N 12th St, Mount Vernon, IL 62864 Phone: 618-436-8640 |