Mrs Amy L Shoemaker, MS, CCC-SLP | |
46200 Port St, Plymouth, MI 48170-6048 | |
(734) 454-0866 | |
Not Available |
Full Name | Mrs Amy L Shoemaker |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 46200 Port St, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881138667 | NPI | - | NPPES |
7101001310 | Other | MI | STATE OF MICHIGAN SPEECH-LANGUAGE PATHOLOGIST LICENSE |
12125514 | Other | MI | ASHA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101001310 (Michigan) | Secondary |
235Z00000X | Speech-language Pathologist | 12125514 (Michigan) | Primary |
Provider Name | Therapeutic Advantage Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184038341 PECOS PAC ID: 8729204896 Enrollment ID: O20140725000649 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amy L Shoemaker, MS, CCC-SLP 46200 Port St, Plymouth, MI 48170-6048 Ph: (734) 454-0866 | Mrs Amy L Shoemaker, MS, CCC-SLP 46200 Port St, Plymouth, MI 48170-6048 Ph: (734) 454-0866 |
Mikayla Treynor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Laura Nye, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Cassidy Mertz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4401 | |
Jill Kristin Stiles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 46200 Port St, Plymouth, MI 48170 Phone: 734-372-1965 | |
Angela Criteser, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14496 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601 | |
Nathan Mutchnick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl, Ste 200, Plymouth, MI 48170 Phone: 734-354-8000 | |
Amelia O'connor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 229 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601 |