Mackenzie Eileen Hardy, CCC-SLP | |
1 Amistad Dr, Rancho Mission Viejo, CA 92694-1897 | |
(949) 979-5675 | |
Not Available |
Full Name | Mackenzie Eileen Hardy |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1 Amistad Dr, Rancho Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306565940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 32160 (California) | Primary |
Provider Name | New Life Physical Therapy Services Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie Eileen Hardy, CCC-SLP 26211 Paseo Manana, San Juan Capistrano, CA 92675-3418 Ph: (253) 797-7617 | Mackenzie Eileen Hardy, CCC-SLP 1 Amistad Dr, Rancho Mission Viejo, CA 92694-1897 Ph: (949) 979-5675 |
Elyse Howard, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1 Amistad Dr, Rancho Mission Viejo, CA 92694 Phone: 949-264-0432 | |
Haideh Mirzapour, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Las Estrellas Loop, Rancho Mission Viejo, CA 92694 Phone: 949-570-6788 | |
Mrs. Audra Marie Hales, M.S., CCC- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 Marisol St, Rancho Mission Viejo, CA 92694 Phone: 619-204-1989 |