Mary Gray, | |
19800 Stafford Ave, Maple Heights, OH 44137-1829 | |
(216) 438-6000 | |
Not Available |
Full Name | Mary Gray |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 19800 Stafford Ave, Maple Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326449406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP 10707 (Ohio) | Primary |
Provider Name | Innovative Speech & Swallowing Partners Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588027866 PECOS PAC ID: 4183913999 Enrollment ID: O20160518001415 |
Mailing Address | Practice Location Address |
---|---|
Mary Gray, 305 Malacca St, Akron, OH 44305-3651 Ph: (330) 957-9992 | Mary Gray, 19800 Stafford Ave, Maple Heights, OH 44137-1829 Ph: (216) 438-6000 |
Nicole Rose Colflesh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Mustang Way, Maple Heights, OH 44137 Phone: 216-587-6100 | |
Colleen Carns, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5933 Dunham Rd, Maple Heights, OH 44137 Phone: 216-438-6010 | |
Mrs. Michelle Trotta, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5933 Dunham Rd, Maple Heights, OH 44137 Phone: 216-438-6010 | |
Lauren Tanner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5500 Clement Ave, Maple Heights, OH 44137 Phone: 216-438-6400 | |
Lily Schwind, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5933 Dunham Rd, Maple Heights, OH 44137 Phone: 216-438-6400 | |
Sasha Barrett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19800 Stafford Ave, Maple Heights, OH 44137 Phone: 216-438-6000 |