Mrs Candace Mary Macintire, SLP | |
701 Slate Belt Blvd, Bangor, PA 18013-9341 | |
(610) 599-1454 | |
Not Available |
Full Name | Mrs Candace Mary Macintire |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 701 Slate Belt Blvd, Bangor, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407054836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SL003194L (Pennsylvania) | Primary |
Provider Name | Fox Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20040220000258 |
Mailing Address | Practice Location Address |
---|---|
Mrs Candace Mary Macintire, SLP Rr 2 Box 2281, East Stroudsburg, PA 18301-9644 Ph: (570) 421-0452 | Mrs Candace Mary Macintire, SLP 701 Slate Belt Blvd, Bangor, PA 18013-9341 Ph: (610) 599-1454 |
Miss Deidre Cherry, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Slate Belt Blvd, Bangor, PA 18013 Phone: 610-599-1454 | |
Ms. Elizabeth Rafiha Araman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 39 Palomino Cir, Bangor, PA 18013 Phone: 610-751-0533 | |
Thomas Heath, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Slate Belt Blvd, Bangor, PA 18013 Phone: 610-588-6161 |