Maria Juliana Codino, MS-CCC, SLP | |
21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | |
(586) 779-7610 | |
(586) 779-7882 |
Full Name | Maria Juliana Codino |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 21000 E 12 Mile Rd, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578037966 | NPI | - | NPPES |
1376820605 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101005317 (Michigan) | Primary |
Provider Name | Ascension St John Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Mailing Address | Practice Location Address |
---|---|
Maria Juliana Codino, MS-CCC, SLP 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 Ph: (586) 779-7610 | Maria Juliana Codino, MS-CCC, SLP 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 Ph: (586) 779-7610 |
Patrick Beasley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Mrs. Maryann P. Mitchell, M.A. SLP-CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19505 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 313-832-1100 | |
Adam Craig Fry, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Lauren Seeley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22100 Masonic Blvd, Saint Clair Shores, MI 48082 Phone: 313-400-6617 | |
Emily Virginia Barc, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22421 Visnaw St, Saint Clair Shores, MI 48081 Phone: 586-330-9080 | |
Taylor Darden, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 267-403-9375 | |
Ashlee Marie Kauffman, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 23003 Greater Mack Ave Ste A, Saint Clair Shores, MI 48080 Phone: 248-890-4584 |