| Lauren Elizabeth Gravelyn, | |
|
1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | |
| (517) 750-4777 | |
| Not Available |
| Full Name | Lauren Elizabeth Gravelyn |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1001 Laurence Ave Ste E, Jackson, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386263556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101006784 (Michigan) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Elizabeth Gravelyn, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Lauren Elizabeth Gravelyn, 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 Ph: (517) 750-4777 |
Mrs. Jessica Lynn Tobin, CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 818 Winifred St, Jackson, MI 49202 Phone: 517-513-3617 | |
Monica Michelle Holland, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Laurence Ave Ste E, Jackson, MI 49202 Phone: 517-750-4777 | |
Franka Crowell, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Laurence Ave, Jackson, MI 49202 Phone: 517-750-4777 | |
Kelli Pfiester, CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2140 Robinson Rd, Jackson, MI 49203 Phone: 517-787-4150 | |
Mrs. Danielle Lynn Okley, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Laurence Ave, Jackson, MI 49202 Phone: 517-750-4777 Fax: 517-782-4717 | |
Sarah Juanita Killinger, MA, CCC SLP, BCBA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Laurence Ave Ste B, Jackson, MI 49202 Phone: 517-750-4777 Fax: 517-782-4717 | |
Sarah Moore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Laurence Ave, Jackson, MI 49202 Phone: 517-750-4777 Fax: 517-782-4717 |