| Meagan Stump, | |
|
9809 Cherry Valley Ave Se Ste D, Caledonia, MI 49316-9592 | |
| (616) 536-2211 | |
| Not Available |
| Full Name | Meagan Stump |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 9809 Cherry Valley Ave Se Ste D, Caledonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689402893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 7101009077 (Michigan) | Primary |
| Provider Name | Functional Kids Therapy Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578951380 PECOS PAC ID: 6800116633 Enrollment ID: O20150519002144 |
| Mailing Address | Practice Location Address |
|---|---|
| Meagan Stump, 777 Goguac St W Ste B2, Springfield, MI 49015-2097 Ph: (269) 223-7786 | Meagan Stump, 9809 Cherry Valley Ave Se Ste D, Caledonia, MI 49316-9592 Ph: (616) 536-2211 |
Katia E Littrell, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9809 Cherry Valley Ave Se Ste D, Caledonia, MI 49316 Phone: 616-536-2211 | |
Miss Erin Lynn Roon, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9770 Duncan Lake Ave Se, Caledonia, MI 49316 Phone: 616-891-8181 Fax: 616-891-7019 | |
Barbara Stacy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7010 Glen Creek Dr Se, Caledonia, MI 49316 Phone: 616-554-6483 | |
Samantha Ruple, M.S. SLP - CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9800 Hanna Lake Ave Se, Caledonia, MI 49316 Phone: 616-550-8770 | |
Christa Veldkamp, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7150 Kalamazoo Ave Se Ste B, Caledonia, MI 49316 Phone: 616-333-1800 Fax: 616-803-5323 | |
Brittany Lynn Deur, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7150 Kalamazoo Ave Se Ste B, Caledonia, MI 49316 Phone: 616-333-1800 Fax: 616-803-5323 |