Lisa K Staub, | |
71 Orphanage Rd, Ft Mitchell, KY 41017-3006 | |
(859) 331-0880 | |
Not Available |
Full Name | Lisa K Staub |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 71 Orphanage Rd, Ft Mitchell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518174077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1523 (Kentucky) | Primary |
Provider Name | Redwood School & Rehabilitation Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568732758 PECOS PAC ID: 0042383937 Enrollment ID: O20191009002871 |
Mailing Address | Practice Location Address |
---|---|
Lisa K Staub, 71 Orphanage Rd, Ft Mitchell, KY 41017-3006 Ph: (859) 331-0880 | Lisa K Staub, 71 Orphanage Rd, Ft Mitchell, KY 41017-3006 Ph: (859) 331-0880 |
Catherine Gray, MS, CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-0880 | |
Elizabeth Magrisso, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-0880 Fax: 859-331-6177 | |
Mrs. Regina H Bajorek, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-0880 Fax: 859-331-6177 | |
Katie M Schaedle, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-0880 Fax: 859-331-6177 | |
Charlotte Herald, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-0880 | |
Michele Ryan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Orphanage Rd, Ft Mitchell, KY 41017 Phone: 859-331-0880 Fax: 859-331-6177 |