Kristin Nicole Ouellette, MS CCC-SLP | |
23160 Moakley St Ste 105, Leonardtown, MD 20650-2933 | |
(301) 475-5511 | |
Not Available |
Full Name | Kristin Nicole Ouellette |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 23160 Moakley St Ste 105, Leonardtown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992136188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 2202007244 (Virginia) | Secondary |
235Z00000X | Speech-language Pathologist | 10297 (Maryland) | Primary |
Provider Name | Jp Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851770598 PECOS PAC ID: 6709192503 Enrollment ID: O20150824001999 |
Mailing Address | Practice Location Address |
---|---|
Kristin Nicole Ouellette, MS CCC-SLP 5369 Susquehanna Dr, Virginia Beach, VA 23462-5953 Ph: (757) 297-5737 | Kristin Nicole Ouellette, MS CCC-SLP 23160 Moakley St Ste 105, Leonardtown, MD 20650-2933 Ph: (301) 475-5511 |
Nicole Burke, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22885 Duke St, Leonardtown, MD 20650 Phone: 301-475-0250 | |
Crystal Koran, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 25480 Point Lookout Rd, Leonardtown, MD 20650 Phone: 301-769-6456 | |
Mrs. Anna Elizabeth Decker, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650 Phone: 301-672-2148 | |
Andrea Atlas, SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 23160 Moakley St, Leonardtown, MD 20650 Phone: 301-475-5511 | |
Mrs. Abigail Culbertson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21585 Peabody St, Leonardtown, MD 20650 Phone: 301-475-8000 | |
Samantha Pauline Wilt, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25500 Point Lookout Rd, Leonardtown, MD 20650 Phone: 301-475-6062 | |
Paige Stanley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22885 Duke St, Leonardtown, MD 20650 Phone: 301-475-0250 |