Stacie M Mamula, MA, CCC-SLP is a
Speech-language Pathologist based in Richfield, Ohio. Stacie M Mamula is licensed to practice in Ohio (license number 7802) and her current practice location is
3496 Everett Rd, Richfield, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 666-4155.
NPI number for Stacie M Mamula is 1467975995 and her current mailing address is 4427 Pletzer Blvd, Rootstown, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467975995.
Healthcare Provider's Profile
| Full Name | Stacie M Mamula |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 3496 Everett Rd, Richfield, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467975995
- Provider Enumeration Date: 07/17/2017
- Last Update Date: 07/17/2017
Medical Identifiers
Medical identifiers for Stacie M Mamula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467975995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 7802 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie M Mamula is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacie M Mamula, MA, CCC-SLP
4427 Pletzer Blvd,
Rootstown, OH 44272-9293
Ph: (330) 807-2584 | Stacie M Mamula, MA, CCC-SLP
3496 Everett Rd,
Richfield, OH 44286-9711
Ph: (330) 666-4155 |
Reviews and Comments