| Shannon Hanley Kedzior, MS, CCC-SLP | |
|
160 E Erie Ave, Philadelphia, PA 19134-1011 | |
| (215) 427-5487 | |
| Not Available |
| Full Name | Shannon Hanley Kedzior |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 160 E Erie Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558067033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SL008524 (Pennsylvania) | Primary |
| Provider Name | Stc Pediatrics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Hanley Kedzior, MS, CCC-SLP Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-1324 | Shannon Hanley Kedzior, MS, CCC-SLP 160 E Erie Ave, Philadelphia, PA 19134-1011 Ph: (215) 427-5487 |
Ms. Laurie Elizabeth Tuten, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 603 E Girard Ave, 2nd Floor, Philadelphia, PA 19125 Phone: 215-584-1194 | |
Corinne Galvan, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 625 E Wister St, Philadelphia, PA 19144 Phone: 440-227-3490 | |
Miss Monica Donat, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8853 Winchester Ave, Philadelphia, PA 19115 Phone: 215-298-4098 | |
Jazmine Gordon, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7538 Elmwood Ave, Philadelphia, PA 19153 Phone: 215-435-5281 | |
Mrs. Christina Zavrotny Pearson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3975 Conshohocken Ave, Philadelphia, PA 19131 Phone: 215-879-1000 Fax: 215-879-3912 | |
Katie Paul Glass, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 322 Reed St Apt 1f, Philadelphia, PA 19147 Phone: 267-307-4282 | |
Ms. Stephanie Anne Zbikowski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3975 Conshohocken Ave, Philadelphia, PA 19131 Phone: 215-879-1000 Fax: 215-879-3912 |