Ms Tracey Leavens Miller, MA CCC-SLP | |
807 Wilbraham Rd, Springfield, MA 01109-2067 | |
(413) 782-1800 | |
(413) 782-0800 |
Full Name | Ms Tracey Leavens Miller |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 807 Wilbraham Rd, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699935171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 004103 (Connecticut) | Secondary |
235Z00000X | Speech-language Pathologist | 9216 (Massachusetts) | Primary |
Provider Name | The University Of Connecticut |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114011830 PECOS PAC ID: 2062507817 Enrollment ID: O20220706000857 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracey Leavens Miller, MA CCC-SLP 1 Emerson Dr, Windsor, CT 06095-3204 Ph: (860) 640-6317 | Ms Tracey Leavens Miller, MA CCC-SLP 807 Wilbraham Rd, Springfield, MA 01109-2067 Ph: (413) 782-1800 |
Mrs. Mary Louise Gray, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 Fax: 413-788-2173 | |
Aidelisa Lopez-carrasco, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 | |
Kristal Fortner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 | |
Denise Rubin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 | |
Ms. Kirsten Lee Prouty, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 807 Wilbraham Rd, Springfield, MA 01109 Phone: 607-437-0761 | |
Laura Boni, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 | |
Hailey Dubois, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Kendall St, Springfield, MA 01104 Phone: 413-737-4756 |