Kora J Spicer, SLP | |
2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 | |
(701) 757-3045 | |
(701) 787-4354 |
Full Name | Kora J Spicer |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2600 Demers Ave Ste 101, Grand Forks, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295260495 | NPI | - | NPPES |
1474396 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1557 (North Dakota) | Primary |
Provider Name | Pediatric Therapy Partners Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457479958 PECOS PAC ID: 3072667203 Enrollment ID: O20201119001487 |
Mailing Address | Practice Location Address |
---|---|
Kora J Spicer, SLP 3060 Frontier Way S, Fargo, ND 58104-8909 Ph: (701) 232-2340 | Kora J Spicer, SLP 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 Ph: (701) 757-3045 |
Andrea Fernandez Flores, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Demers Ave Ste 101, Grand Forks, ND 58201 Phone: 701-741-8057 | |
Jessica Ann Sporbert, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2230 | |
Meredith A. Christiansen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2600 Demers Ave Ste 101, Grand Forks, ND 58201 Phone: 701-741-8057 | |
Amy Louise Pinkerton, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1375 S Columbia Rd - Altru Performance Center, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-2238 | |
Paola Alvarez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2205 | |
Andrea Goertzen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2230 | |
Jody Lynn Paulson, M.S. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 |