| Miranda Lee Wright, SLP | |
|
171 S Fair Oaks Ave Apt 528, Madison, WI 53704-5869 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Miranda Lee Wright |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 171 S Fair Oaks Ave Apt 528, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659930881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4850-154 (Wisconsin) | Primary |
| Provider Name | University Of Utah |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Lee Wright, SLP 171 S Fair Oaks Ave Apt 528, Madison, WI 53704-5869 Ph: () - | Miranda Lee Wright, SLP 171 S Fair Oaks Ave Apt 528, Madison, WI 53704-5869 Ph: (000) 000-0000 |
Leslie L. Lord, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4502 Milwaukee St, Madison, WI 53714 Phone: 608-249-2137 | |
Anne Teresa Heintzelman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792 Phone: 608-662-0817 | |
Miss Megan Marie Nell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4325 Nakoma Rd, Madison, WI 53711 Phone: 608-271-7321 | |
Merertu G Kitila, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6190 Fax: 608-262-7679 | |
Cassandra Reichenbach, MS/CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6701 Seybold Rd Ste 109, Madison, WI 53719 Phone: 608-571-2661 Fax: 608-535-6229 | |
Amy Baillies, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7502 | |
Mrs. Amy M. Kohlstedt, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 202 S Park St, Madison, WI 53715 Phone: 608-417-7574 |