| Payton Fogg, MS, CCC-SLP | |
|
401 W Tamarack Rd, Altus, OK 73521-1529 | |
| (580) 482-7308 | |
| (580) 477-2763 |
| Full Name | Payton Fogg |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 401 W Tamarack Rd, Altus, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679125421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Advanced Therapy Solutions, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720537939 PECOS PAC ID: 6002199494 Enrollment ID: O20170209000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Payton Fogg, MS, CCC-SLP 401 W Tamarack Rd, Altus, OK 73521-1529 Ph: (580) 482-7308 | Payton Fogg, MS, CCC-SLP 401 W Tamarack Rd, Altus, OK 73521-1529 Ph: (580) 482-7308 |
Christi R Townshend, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 504 Quail Run N, Altus, OK 73521 Phone: 580-379-4464 | |
Mrs. Jennifer Kathryn Kemph, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3909 Pilgrim Ln, Altus, OK 73521 Phone: 580-318-7141 | |
Mrs. Glenda D Hebensperger, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-477-7226 Fax: 580-477-7206 | |
Marla K Carnes, MS--SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1216 Karen Dr, Altus, OK 73521 Phone: 580-284-7408 | |
Tara Deann Wilks, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-477-7226 Fax: 580-477-7206 | |
Mrs. Kelci Layne Cunningham, C.F., M.S.-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 W Tamarack Rd, Altus, OK 73521 Phone: 580-482-7308 | |
Mrs. Amber Dawn Jackson, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5820 Fax: 580-379-5829 |