| Louise A Koziol, CCC SLP | |
|
1930 E Southern Ave, Tempe, AZ 85282-7518 | |
| (480) 456-0719 | |
| Not Available |
| Full Name | Louise A Koziol |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1930 E Southern Ave, Tempe, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942320098 | NPI | - | NPPES |
| 470980 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP1156 (Arizona) | Primary |
| Provider Name | Theracare Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962784249 PECOS PAC ID: 9830437433 Enrollment ID: O20190206001321 |
| Provider Name | Heartland Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962552547 PECOS PAC ID: 8325389190 Enrollment ID: O20190403002226 |
| Mailing Address | Practice Location Address |
|---|---|
| Louise A Koziol, CCC SLP 1930 E Southern Ave, Tempe, AZ 85282-7518 Ph: (480) 456-0719 | Louise A Koziol, CCC SLP 1930 E Southern Ave, Tempe, AZ 85282-7518 Ph: (480) 456-0719 |
Lauren Owens, MS Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1930 E Southern Ave, Tempe, AZ 85282 Phone: 480-456-0719 | |
Ms. Cheryl H. Davis, M.A. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8700 S Kyrene Rd, Tempe, AZ 85284 Phone: 480-783-4100 | |
Kristine Lyn Williams-gregory, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8700 S Kyrene Rd, Tempe, AZ 85284 Phone: 480-783-3167 Fax: 480-345-2052 | |
Ms. Debra Kay Mikkelsen, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 625 W Cornell Dr, Tempe, AZ 85283 Phone: 480-897-6233 Fax: 480-838-0061 | |
Ms. Lisa J. Monheit, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8700 S Kyrene Rd, Tempe, AZ 85284 Phone: 480-783-3220 | |
Mrs. Kelly Ingram, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Arizona State University Speech And Hearing, 975 S. Myrtle Lattie Coor Hall 2324, Tempe, AZ 85287 Phone: 480-965-5830 | |
Mrs. Diana Lynn Whitley-janowski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1428 N Mcallister Ave, Tempe, AZ 85281 Phone: 602-620-8119 |