Speakn Up Llc | |
45 N First East St, Fredonia, AZ 86022-0079 | |
(928) 606-3565 | |
(928) 643-6554 |
Full Name | Speakn Up Llc |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 45 N First East St, Fredonia, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003436700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Sondra J Bistline |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1174823843 PECOS PAC ID: 2860815958 Enrollment ID: I20200708001514 |
Mailing Address | Practice Location Address |
---|---|
Speakn Up Llc Po Box 843, Fredonia, AZ 86022-0843 Ph: (928) 606-3565 | Speakn Up Llc 45 N First East St, Fredonia, AZ 86022-0079 Ph: (928) 606-3565 |
David Armstrong Lambert, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 221 East Hortt Strett, Fredonia, AZ 86022 Phone: 928-643-7333 Fax: 928-643-7044 | |
Sondra J Bistline, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 North 100 East, Fredonia, AZ 86022 Phone: 928-606-3565 Fax: 928-643-6554 |