Miranda D Boston, MA SLP-CCC | |
5640 Cox Smith Rd, Mason, OH 45040-2210 | |
(513) 398-2881 | |
Not Available |
Full Name | Miranda D Boston |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 5640 Cox Smith Rd, Mason, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104465590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP.12862 (Ohio) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
Mailing Address | Practice Location Address |
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Miranda D Boston, MA SLP-CCC 3855 Witham Woods Dr, Cincinnati, OH 45245-2436 Ph: (513) 659-0384 | Miranda D Boston, MA SLP-CCC 5640 Cox Smith Rd, Mason, OH 45040-2210 Ph: (513) 398-2881 |
Kristen Nicole May, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7312 Central Parke Blvd, Mason, OH 45040 Phone: 513-402-1711 Fax: 317-520-8200 | |
Mrs. Jodi L Norris, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6861 Lexington Park Blvd, Mason, OH 45040 Phone: 513-204-5797 | |
Tara Naltner, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5640 Cox Smith Rd, Mason, OH 45040 Phone: 513-398-2881 | |
Alaina Harover, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5180 Cedar Village Dr, Mason, OH 45040 Phone: 513-638-0303 | |
Mary Defrank, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4755 Gallop Run, Mason, OH 45040 Phone: 513-459-1725 | |
Mrs. Christie Marie Huhn, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 211 N East St, Mason, OH 45040 Phone: 513-398-0474 |