Mrs Leslie Rae Childress, SLP | |
1225 Corporate Dr Ste B, Holland, OH 43528-7701 | |
(419) 866-0555 | |
(419) 866-0556 |
Full Name | Mrs Leslie Rae Childress |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1225 Corporate Dr Ste B, Holland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932544491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP.13152 (Ohio) | Primary |
235Z00000X | Speech-language Pathologist | SL012011 (Pennsylvania) | Secondary |
Provider Name | Encompass Care, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770107088 PECOS PAC ID: 2062752595 Enrollment ID: O20200724002029 |
Provider Name | Med1care Therapy Partners Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770169492 PECOS PAC ID: 1850779448 Enrollment ID: O20220610000775 |
Mailing Address | Practice Location Address |
---|---|
Mrs Leslie Rae Childress, SLP 1100 Shawnee Rd, Lima, OH 45805-3583 Ph: (419) 999-2010 | Mrs Leslie Rae Childress, SLP 1225 Corporate Dr Ste B, Holland, OH 43528-7701 Ph: (419) 866-0555 |
Kimberly Besgrove, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7001 Madison Ave, Holland, OH 43528 Phone: 419-867-5795 | |
Jessica Lynn Blanc, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6060 Merger Dr, Holland, OH 43528 Phone: 419-724-5434 Fax: 419-724-5435 | |
Allison Malone, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2001 Perrysburg Holland Rd, Holland, OH 43528 Phone: 419-861-5099 | |
Christine Klocheska, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1133 Corporate Dr, Holland, OH 43528 Phone: 419-882-9870 | |
Jessica Roth, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6924 Spring Valley Dr, Holland, OH 43528 Phone: 419-867-5600 | |
Christine Marian Kudlak, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Eber Rd, Holland, OH 43528 Phone: 419-866-6500 Fax: 419-866-4326 | |
Ashley Nowotka, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6900 Hall St, Holland, OH 43528 Phone: 419-708-6625 |