Stacey Carrothers, | |
101 11th Ave S Ste 155, Nampa, ID 83651-3918 | |
(208) 466-1077 | |
Not Available |
Full Name | Stacey Carrothers |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 101 11th Ave S Ste 155, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043887771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | TSLP-4777 (Idaho) | Primary |
Provider Name | Speech Therapy Solutions Montana |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396193819 PECOS PAC ID: 8325334550 Enrollment ID: O20160914000656 |
Mailing Address | Practice Location Address |
---|---|
Stacey Carrothers, 101 11th Ave S Ste 155, Nampa, ID 83651-3918 Ph: (208) 466-1077 | Stacey Carrothers, 101 11th Ave S Ste 155, Nampa, ID 83651-3918 Ph: (208) 466-1077 |
Kailey Rose Sheldon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 11th Ave S, Nampa, ID 83651 Phone: 208-466-1077 | |
Audrey Quenzer, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 207 W Georgia Ave Ste 170, Nampa, ID 83686 Phone: 208-467-1069 Fax: 208-467-1462 | |
Erin Westfall, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 168 Mcclure Avenue, Nampa, ID 83651 Phone: 208-466-1077 | |
Rachel Nish, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 11th Ave S # 155, Nampa, ID 83651 Phone: 208-466-1077 Fax: 208-467-2201 | |
Mrs. April E. Lyon, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2830 S Bluegrass Dr, Nampa, ID 83686 Phone: 208-461-4989 | |
Aleece Ban-jo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 11th Ave S, Nampa, ID 83651 Phone: 208-466-1077 |