Nichole Mroz, | |
1236 Lincoln Ave, Evansville, IN 47714-1056 | |
(812) 422-8555 | |
Not Available |
Full Name | Nichole Mroz |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1236 Lincoln Ave, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881090827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Legacy Therapy And Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023743614 PECOS PAC ID: 8325421472 Enrollment ID: O20220823000515 |
Mailing Address | Practice Location Address |
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Nichole Mroz, 1181 N Lakeview Dr, Celestine, IN 47521-9688 Ph: () - | Nichole Mroz, 1236 Lincoln Ave, Evansville, IN 47714-1056 Ph: (812) 422-8555 |
Jennifer Holmes, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3701 Bellemeade Ave, Evansville, IN 47714 Phone: 812-479-1441 | |
Joan Smith Kuhn, MS CCC SLP SPEECH LA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2425 Highway 41 N, Suite 302, Evansville, IN 47711 Phone: 812-306-4776 | |
Kimberly Sue Walker, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Se Riverside Dr, Evansville, IN 47713 Phone: 812-491-9861 | |
Jamie Allen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47750 Phone: 812-485-5603 | |
Sarah Walden, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4900 Shamrock Dr, Suites 100-102, Evansville, IN 47715 Phone: 812-479-7337 | |
Sarah Miller, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-4525 | |
Courtney Weedman, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4900 Shamrock Dr Ste 100-102, Evansville, IN 47715 Phone: 812-479-7337 Fax: 812-550-1990 |