| Khetlhamany Erika Bannavong, MA, CF-SLP | |
|
2332 Liberty Dr, Coralville, IA 52241-2771 | |
| (319) 545-7390 | |
| Not Available |
| Full Name | Khetlhamany Erika Bannavong |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2332 Liberty Dr, Coralville, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245945567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 114797 (Iowa) | Primary |
| Provider Name | Onr National Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20190125002828 |
| Provider Name | Empowerme Asl Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376138305 PECOS PAC ID: 3476969387 Enrollment ID: O20210310003144 |
| Mailing Address | Practice Location Address |
|---|---|
| Khetlhamany Erika Bannavong, MA, CF-SLP 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: () - | Khetlhamany Erika Bannavong, MA, CF-SLP 2332 Liberty Dr, Coralville, IA 52241-2771 Ph: (319) 545-7390 |
Meghan Wright, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2332 Liberty Dr, Coralville, IA 52241 Phone: 319-545-7390 | |
Mrs. Victoria Joann Concha, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Oakdale Blvd, Coralville, IA 52241 Phone: 319-351-5437 Fax: 319-351-5432 | |
Katelyn Bocken, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Oakdale Blvd, Coralville, IA 52241 Phone: 319-351-5437 | |
Alyssa Spiegel, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2854 Coral Ct Ste 1, Coralville, IA 52241 Phone: 319-259-6224 | |
Lana Lynnette Criswell, MA SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Oakdale Blvd, Coralville, IA 52241 Phone: 319-351-5437 Fax: 319-351-5432 | |
Zoe N Angus, MA, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Oakdale Blvd, Coralville, IA 52241 Phone: 319-351-5437 |