Ms Anna Gale Estes-waddell, MA, CCC-SLP | |
1653 Se Hamilton Rd, Mountain Home, ID 83647-5858 | |
(208) 587-4658 | |
Not Available |
Full Name | Ms Anna Gale Estes-waddell |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1653 Se Hamilton Rd, Mountain Home, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275707242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1474 (Idaho) | Primary |
Provider Name | Advanced Therapy Care Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477786358 PECOS PAC ID: 6406049469 Enrollment ID: O20101022000150 |
Mailing Address | Practice Location Address |
---|---|
Ms Anna Gale Estes-waddell, MA, CCC-SLP 1653 Se Hamilton Rd, Mountain Home, ID 83647-5858 Ph: (208) 587-4658 | Ms Anna Gale Estes-waddell, MA, CCC-SLP 1653 Se Hamilton Rd, Mountain Home, ID 83647-5858 Ph: (208) 587-4658 |
Miss Terri Lynn Grasham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 | |
Karissa Rutten, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 | |
Teresa Michelle Johnson, MS CF-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 | |
Rachelle Ruffing, MSCCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-599-2536 Fax: 208-587-5734 | |
Makenzi Walsh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-898-0988 | |
Jessica Cristobal, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 |