Kiersten Shadle, | |
1021 Springboard Dr, Hershey, PA 17033-8820 | |
(717) 583-5102 | |
Not Available |
Full Name | Kiersten Shadle |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1021 Springboard Dr, Hershey, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053878058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SL014381 (Pennsylvania) | Primary |
Provider Name | Rehab1 Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902976855 PECOS PAC ID: 3173626272 Enrollment ID: O20070309000454 |
Mailing Address | Practice Location Address |
---|---|
Kiersten Shadle, 1021 Springboard Dr, Hershey, PA 17033-8820 Ph: (717) 583-5102 | Kiersten Shadle, 1021 Springboard Dr, Hershey, PA 17033-8820 Ph: (717) 583-5102 |
Mrs. Kristen Maurer, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Mca410, Hershey, PA 17033 Phone: 800-243-1455 | |
Stephanie Ann Trump Johnston, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40 W Caracas Ave, Hershey, PA 17033 Phone: 717-298-1185 | |
Ms. Joan W. Schwanger, M.S./CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Hope Dr, Suite 1500, Hershey, PA 17033 Phone: 717-531-8070 Fax: 717-531-0138 | |
Kimberly Weber, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 431 E Chocolate Ave, Hershey, PA 17033 Phone: 717-533-1916 | |
Molly Ada Polacco, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr # Mca410, Hershey, PA 17033 Phone: 800-243-1455 | |
Emily Katzaman, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 431 E Chocolate Ave, Hershey, PA 17033 Phone: 717-533-1916 |