Raquel Teresa Anderson, PHD | |
200 S Jordan Ave, Bloomington, IN 47405-7002 | |
(812) 855-4161 | |
(812) 855-5531 |
Full Name | Raquel Teresa Anderson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 200 S Jordan Ave, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184929218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 22005226A (Indiana) | Primary |
Provider Name | Indiana University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982693743 PECOS PAC ID: 6002806957 Enrollment ID: O20160419002338 |
Mailing Address | Practice Location Address |
---|---|
Raquel Teresa Anderson, PHD 200 S Jordan Ave, Bloomington, IN 47405-7002 Ph: (812) 855-4161 | Raquel Teresa Anderson, PHD 200 S Jordan Ave, Bloomington, IN 47405-7002 Ph: (812) 855-4161 |
Daniel Fogerty, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 N Bell Trace Cir, Bloomington, IN 47408 Phone: 812-323-2858 | |
Ms. Bettina R Manuel, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3021 E Tapps Turn, Bloomington, IN 47401 Phone: 812-322-7771 Fax: 812-855-5561 | |
Ms. Melanie Jill Mazur, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S Jordan Ave, Bloomington, IN 47405 Phone: 812-855-3605 | |
Lillian Martindale, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 443 S Landmark Ave, Bloomington, IN 47403 Phone: 812-676-7000 | |
Bell Trace Health And Living Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 N Bell Trace Cir, Bloomington, IN 47408 Phone: 812-323-2858 Fax: 812-323-2854 | |
Doreen Dotlich Devitt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Curry Pike, Bloomington, IN 47403 Phone: 812-330-6700 | |
Chelsea Silverman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2455 N Tamarack Trl, Bloomington, IN 47408 Phone: 812-336-7060 |