Lisa Henning, | |
15 Mill St, Marion, MA 02738-1546 | |
(508) 748-3830 | |
Not Available |
Full Name | Lisa Henning |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 15 Mill St, Marion, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437635364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 3744 (Massachusetts) | Primary |
Provider Name | Fox Rehab Ma Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1497174437 PECOS PAC ID: 3678895000 Enrollment ID: O20141213000299 |
Mailing Address | Practice Location Address |
---|---|
Lisa Henning, 19 Williams Dr, Carver, MA 02330-1383 Ph: (508) 930-2820 | Lisa Henning, 15 Mill St, Marion, MA 02738-1546 Ph: (508) 748-3830 |
Ms. Elizabeth Marie Vuckovic, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15 Mill St, Marion, MA 02738 Phone: 508-748-3830 | |
Mrs. Shannon Marie Karo, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 52 Joanne Dr, Marion, MA 02738 Phone: 619-871-1323 | |
Robert Melchionna, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15 Mill St, Marion, MA 02738 Phone: 508-748-3830 |