| Lisa Fetzer, | |
|
2219 Chiquita Blvd S, Cape Coral, FL 33991-3291 | |
| (239) 376-0417 | |
| Not Available |
| Full Name | Lisa Fetzer |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2219 Chiquita Blvd S, Cape Coral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760244362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA11223 (Florida) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Fetzer, 3319 Nw 5th Ter, Cape Coral, FL 33993-5663 Ph: () - | Lisa Fetzer, 2219 Chiquita Blvd S, Cape Coral, FL 33991-3291 Ph: (239) 376-0417 |
Mrs. Maude Clouse, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2328 Hancock Bridge Parkway, Suite # 112 B, Cape Coral, FL 33990 Phone: 239-573-2368 Fax: 239-995-2924 | |
Kristen Nicole Dejulio, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1342 Se 46th Ln, Cape Coral, FL 33904 Phone: 239-310-2048 | |
Mrs. Kathleen Marie Smiley, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3222 Sw 5th Ave, Cape Coral, FL 33914 Phone: 238-549-5466 Fax: 239-549-5466 | |
Amy Bray, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1313 Sw 18th St, Cape Coral, FL 33991 Phone: 239-246-5581 | |
Maryann Carroll, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 838 Sw 56th St, Cape Coral, FL 33914 Phone: 239-277-9818 Fax: 239-277-9289 | |
Cape Speech Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2804 Del Prado Blvd S, Suite 202-5, Cape Coral, FL 33904 Phone: 239-540-8255 Fax: 239-540-8563 | |
Ms. Susie Ann Hammersley, M.S., SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1424 Se 35th St, Cape Coral, FL 33904 Phone: 239-935-9804 Fax: 239-294-3505 |