Katelynn Harris, CCC-SLP | |
9751 E Grand River Ave Ste 1, Portland, MI 48875-9802 | |
(517) 376-3650 | |
Not Available |
Full Name | Katelynn Harris |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 9751 E Grand River Ave Ste 1, Portland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104519974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7152000643 (Michigan) | Secondary |
235Z00000X | Speech-language Pathologist | 7101008825 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Katelynn Harris, CCC-SLP Po Box 412031, Boston, MA 02241-2031 Ph: () - | Katelynn Harris, CCC-SLP 9751 E Grand River Ave Ste 1, Portland, MI 48875-9802 Ph: (517) 376-3650 |
Curt Schneider, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7522 Emery Rd, Portland, MI 48875 Phone: 616-990-7494 | |
Mrs. Gretchen Findlay, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1330 E. Grand River Ave., Suite B, Portland, MI 48875 Phone: 517-647-4327 Fax: 517-647-2442 | |
Katelynn Lucille Farr, MA CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9751 E Grand River Ave Ste 1, Portland, MI 48875 Phone: 517-376-3650 |