| Nicole Mitchell, | |
|
2123 Armstrong Ave, Morton, PA 19070-1201 | |
| (610) 764-8934 | |
| Not Available |
| Full Name | Nicole Mitchell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2123 Armstrong Ave, Morton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992094114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 12158678 (Pennsylvania) | Primary |
| Provider Name | Fox Rehabilitation Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20040220000258 |
| Provider Name | Optimal Home Rehab, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154885291 PECOS PAC ID: 1052651973 Enrollment ID: O20190312003152 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Mitchell, 2123 Armstrong Ave, Morton, PA 19070-1201 Ph: () - | Nicole Mitchell, 2123 Armstrong Ave, Morton, PA 19070-1201 Ph: (610) 764-8934 |
Carolyn Bennett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Yale Ave, Morton, PA 19070 Phone: 704-408-1730 | |
Mrs. Stefani L. Doyle, SLP, AVT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Yale Ave, Morton, PA 19070 Phone: 610-938-9000 Fax: 610-938-9886 | |
Lisa O'brien, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Yale Ave, Morton, PA 19070 Phone: 610-938-9000 | |
Miss Kellye Lynne Gallagher, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 820 Pearl Ave, Morton, PA 19070 Phone: 484-557-5615 | |
Mrs. Alison G. Hefferan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Yale Ave, Morton, PA 19070 Phone: 610-938-9000 Fax: 610-938-9886 | |
Mrs. Christy L Marzzacco, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Yale Ave, Morton, PA 19070 Phone: 610-938-9000 Fax: 610-938-9886 |