| Prescott Speech & Language Services Inc. | |
|
812 Valley St, Prescott, AZ 86305-1826 | |
| (928) 445-1309 | |
| (928) 445-0914 |
| Full Name | Prescott Speech & Language Services Inc. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 812 Valley St, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891831509 | NPI | - | NPPES |
| 855091 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | OTC 4011 (Arizona) | Primary |
| Provider Name | Steven J Dinerman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861532046 PECOS PAC ID: 5890846331 Enrollment ID: I20090624000190 |
| Provider Name | Colleen Robbins Pouquette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881632578 PECOS PAC ID: 6204746910 Enrollment ID: I20090624000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Speech & Language Services Inc. Po Box 11312, Prescott, AZ 86304-1312 Ph: (928) 445-1309 | Prescott Speech & Language Services Inc. 812 Valley St, Prescott, AZ 86305-1826 Ph: (928) 445-1309 |
Ms. Patricia Ann Brown, MA CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3176 Dome Rock Pl, Unit 14b, Prescott, AZ 86301 Phone: 406-498-0003 Fax: 928-441-1695 | |
Shea Carnes, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 E Gurley St, Prescott, AZ 86301 Phone: 928-717-3236 | |
Melissa Sarge, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3105 Clearwater Dr, Prescott, AZ 86305 Phone: 928-776-4349 Fax: 928-776-1369 | |
Elizabeth Baysa Olson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2039 W Post Oak Dr, Prescott, AZ 86305 Phone: 805-868-5275 | |
Marla Beth Perkins, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3160 Stillwater Dr., Prescott, AZ 86305 Phone: 928-776-4349 Fax: 928-776-1369 | |
Ms. Stephanie M. Voss, SPEECH THERAPIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 506 Perry St, Prescott, AZ 86303 Phone: 928-717-8817 | |
Levi Joseph Huot, SLPA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3160 Stillwater Dr, Prescott, AZ 86305 Phone: 928-776-9285 |