Sheryl Dudley, MA, CCC-SLP | |
777 Goguac St W Ste B2, Battle Creek, MI 49015-2097 | |
(269) 223-7786 | |
(269) 962-9569 |
Full Name | Sheryl Dudley |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 777 Goguac St W Ste B2, Battle Creek, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427703990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 14380541 (Michigan) | Primary |
Provider Name | Functional Kids Therapy Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578951380 PECOS PAC ID: 6800116633 Enrollment ID: O20150519002144 |
Mailing Address | Practice Location Address |
---|---|
Sheryl Dudley, MA, CCC-SLP 6642 Westshire St, Portage, MI 49024-3270 Ph: (405) 777-9409 | Sheryl Dudley, MA, CCC-SLP 777 Goguac St W Ste B2, Battle Creek, MI 49015-2097 Ph: (269) 223-7786 |
South Shore Speech Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 395 S Shore Dr, Suite 310, Battle Creek, MI 49015 Phone: 269-660-1025 Fax: 269-660-1588 | |
Ms. J Casey Gershon, M.S, MBA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 North Ave, Battle Creek, MI 49017 Phone: 269-245-8127 | |
Patricia Masello, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 91 Minges Rd N, Battle Creek, MI 49015 Phone: 269-380-7588 Fax: 269-294-0612 | |
Caroline Christine Jordan, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 395 S Shore Dr Ste 310, Battle Creek, MI 49014 Phone: 269-660-1025 | |
Mrs. Kristen Marie Pollich, M.A-SLP/CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 395 S Shore Dr Ste 310, Battle Creek, MI 49014 Phone: 269-660-1025 | |
Ms. Mary Lynn Wietzke, CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5500 Armstrong Road-114 Pr, Va Medical Center, Battle Creek, MI 49015 Phone: 269-966-5600 | |
Mary Sharon Kolasinski, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 North Ave, Battle Creek, MI 49017 Phone: 269-245-8125 |