| Kerri Mazur, | |
|
1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | |
| (570) 698-5647 | |
| Not Available |
| Full Name | Kerri Mazur |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1404 Golf Park Dr, Lake Ariel, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679981807 | NPI | - | NPPES |
| 101802 | Other | PA | FACILITY LICENSE # |
| 102602636-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SL004327L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri Mazur, 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 Ph: () - | Kerri Mazur, 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 Ph: (570) 698-5647 |
Susan O'shea, M.S.SLPCCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1404 Golf Park Dr, Lake Ariel, PA 18436 Phone: 570-698-5647 Fax: 570-698-7742 | |
Tamara Ann Dobrzyn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 126 Hidden Valley Dr, Lake Ariel, PA 18436 Phone: 570-851-8379 | |
Dakota Kyzer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 112 N Shore Ln, Lake Ariel, PA 18436 Phone: 570-616-2855 |