Mary Colleen Kiesel, | |
404 W Willow Rd, Dale, IN 47523-8947 | |
(812) 937-4489 | |
Not Available |
Full Name | Mary Colleen Kiesel |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 404 W Willow Rd, Dale, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992040489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 22002695A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mary Colleen Kiesel, 404 W Willow Rd, Dale, IN 47523-8947 Ph: (812) 937-4489 | Mary Colleen Kiesel, 404 W Willow Rd, Dale, IN 47523-8947 Ph: (812) 937-4489 |
Mrs. Stacy Marie George, MS., SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 404 West Willow Rd, Dale, IN 47523 Phone: 812-937-4489 Fax: 812-937-2260 | |
Megan Rose Steckler, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5367 E County Road 2200 N, Dale, IN 47523 Phone: 812-393-9109 |