Melissa Sue Pore, CCC/SLP | |
21158 Paint Blvd, Shippenville, PA 16254-4024 | |
(814) 227-9166 | |
Not Available |
Full Name | Melissa Sue Pore |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 21158 Paint Blvd, Shippenville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679915201 | NPI | - | NPPES |
Provider Name | Advanced Dysphagia Diagnostics Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194181206 PECOS PAC ID: 4183914484 Enrollment ID: O20171204001028 |
Mailing Address | Practice Location Address |
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Melissa Sue Pore, CCC/SLP 206 Main St, Shippenville, PA 16254-3906 Ph: () - | Melissa Sue Pore, CCC/SLP 21158 Paint Blvd, Shippenville, PA 16254-4024 Ph: (814) 227-9166 |
Sandra Ellen Clark, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 242 Maple Dr, Shippenville, PA 16254 Phone: 814-782-6342 | |
Krista Weber, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 Sycamore Dr, Shippenville, PA 16254 Phone: 814-223-4649 | |
Mrs. Courtney Lyn Lewis, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Bigley Rd, Shippenville, PA 16254 Phone: 724-747-3038 | |
Advanced Dysphagia Diagnostics Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 206 Main St, Shippenville, PA 16254 Phone: 909-213-5967 Fax: 509-356-4607 |