Mr Jonathan Barsness, MS | |
3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | |
(928) 527-6166 | |
Not Available |
Full Name | Mr Jonathan Barsness |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 3285 E Sparrow Ave, Flagstaff, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144612854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | TSLP9276 (Arizona) | Secondary |
235Z00000X | Speech-language Pathologist | 4734123 (Arizona) | Primary |
Provider Name | Amy Grulke Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316464795 PECOS PAC ID: 4284992538 Enrollment ID: O20171214003120 |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan Barsness, MS 8085 Pine Country Ln, Flagstaff, AZ 86004-1215 Ph: () - | Mr Jonathan Barsness, MS 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 Ph: (928) 527-6166 |
Mrs. Beth Wilson, MNS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3285 E Sparrow Ave, Flagstaff, AZ 86004 Phone: 928-773-8139 | |
Mr. Michael Mushtaq Ahmed, EDD.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8560 La Mancha Ln, Flagstaff, AZ 86004 Phone: 928-526-0034 | |
Amy Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Speech Language Engineers, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1550 N Foxglenn St, Flagstaff, AZ 86004 Phone: 480-299-5012 | |
Anna Cook, SPT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Stacy Lynn Pinkston, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 125 E Elm Ave, Ste. 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Nau Ihd Assistive Technology Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Building 27a Riordan Road, Flagstaff, AZ 86001 Phone: 928-523-5878 Fax: 928-523-4953 |