Mrs Pamela Listle, MSCCSLP | |
711 West Adams St., Black River Falls, WI 54615 | |
(715) 284-5361 | |
(715) 284-7166 |
Full Name | Mrs Pamela Listle |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 711 West Adams St., Black River Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841467636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 721-154 (Wisconsin) | Secondary |
235Z00000X | Speech-language Pathologist | (Wisconsin) | Primary |
Provider Name | Achieve Solutions Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346329869 PECOS PAC ID: 9739188244 Enrollment ID: O20070222000039 |
Mailing Address | Practice Location Address |
---|---|
Mrs Pamela Listle, MSCCSLP 711 West Adams St., Black River Falls, WI 54615 Ph: (715) 284-5361 | Mrs Pamela Listle, MSCCSLP 711 West Adams St., Black River Falls, WI 54615 Ph: (715) 284-5361 |
Ms. Lindsay Marie Morgan, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 County Road R, Black River Falls, WI 54615 Phone: 715-284-5396 | |
Mrs. Lisa Dawn Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N3811 Big Field Rd, Black River Falls, WI 54615 Phone: 715-284-9291 | |
Mrs. Lisa Kay Gaede, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 424 River Dr, Black River Falls, WI 54615 Phone: 715-896-8373 |