| Lesley Marie Iacona, SPT | |
|
125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 | |
| (928) 779-1679 | |
| (928) 779-2822 |
| Full Name | Lesley Marie Iacona |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 125 E Elm Ave, Flagstaff, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669561965 | NPI | - | NPPES |
| 105776 | Other | AZ | AHCCCS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP4618 (Arizona) | Primary |
| Provider Name | Northland-rural Therapy Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376677914 PECOS PAC ID: 5193983526 Enrollment ID: O20120214000939 |
| Provider Name | Therapy One Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316163884 PECOS PAC ID: 2668771015 Enrollment ID: O20160505002277 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesley Marie Iacona, SPT 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 Ph: (928) 779-1679 | Lesley Marie Iacona, SPT 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 Ph: (928) 779-1679 |
Mrs. Beth Wilson, MNS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3285 E Sparrow Ave, Flagstaff, AZ 86004 Phone: 928-773-8139 | |
Mr. Michael Mushtaq Ahmed, EDD.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8560 La Mancha Ln, Flagstaff, AZ 86004 Phone: 928-526-0034 | |
Amy Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Speech Language Engineers, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1550 N Foxglenn St, Flagstaff, AZ 86004 Phone: 480-299-5012 | |
Anna Cook, SPT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Stacy Lynn Pinkston, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 125 E Elm Ave, Ste. 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Nau Ihd Assistive Technology Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Building 27a Riordan Road, Flagstaff, AZ 86001 Phone: 928-523-5878 Fax: 928-523-4953 |