Lucas Northern, SLP | |
30 Buxton Farm Rd Ste 230, Stamford, CT 06905-1206 | |
(203) 212-4191 | |
Not Available |
Full Name | Lucas Northern |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 30 Buxton Farm Rd Ste 230, Stamford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396472486 | NPI | - | NPPES |
006772 | Other | CT | SLP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 006772 (Connecticut) | Primary |
Provider Name | High Quality Home Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972806990 PECOS PAC ID: 1759661283 Enrollment ID: O20191216001024 |
Mailing Address | Practice Location Address |
---|---|
Lucas Northern, SLP 30 Buxton Farm Rd Ste 230, Stamford, CT 06905-1206 Ph: () - | Lucas Northern, SLP 30 Buxton Farm Rd Ste 230, Stamford, CT 06905-1206 Ph: (203) 212-4191 |
Michelle Aristizabal, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 67 Warren St, Stamford, CT 06902 Phone: 203-962-1197 | |
Ms. Erin Patricia Mckay, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 50 Glenbrook Rd Apt 12f, Stamford, CT 06902 Phone: 203-253-9130 | |
Rebecca Cram, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Buxton Farm Rd Ste 230, Stamford, CT 06905 Phone: 203-212-4191 | |
Sondra Mehl, MS-CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 64 Sanford Ln, Stamford, CT 06905 Phone: 917-207-5096 | |
Raquel Gonzalez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 888 Washington Blvd Fl 5, Stamford, CT 06901 Phone: 203-977-4105 | |
Christina Furniss, SLP Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 30 Buxton Farm Rd Ste 230, Stamford, CT 06905 Phone: 203-212-4191 | |
Shuli Graham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 59 Roxbury Rd, Stamford, CT 06902 Phone: 877-407-3422 |