Ms Stephanie Kubelus Charles, MS | |
542 Boulevard Ave, Dickson City, PA 18519-1750 | |
(610) 746-1900 | |
Not Available |
Full Name | Ms Stephanie Kubelus Charles |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 542 Boulevard Ave, Dickson City, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306130752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SL010838 (Pennsylvania) | Primary |
Provider Name | Pivot Physical Therapy Of Pennsylvania Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
Mailing Address | Practice Location Address |
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Ms Stephanie Kubelus Charles, MS 1143 State Route 502 Apt 335, Spring Brook Township, PA 18444-6462 Ph: () - | Ms Stephanie Kubelus Charles, MS 542 Boulevard Ave, Dickson City, PA 18519-1750 Ph: (610) 746-1900 |
Diane Webber, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd, Suite 107, Dickson City, PA 18519 Phone: 570-489-5561 Fax: 570-489-5563 | |
Kaycee Crofton, DPT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 542 Boulevard Ave, Dickson City, PA 18519 Phone: 570-489-5010 Fax: 570-489-5060 | |
Gina Lee Phillips, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 829 Lincoln St, Dickson City, PA 18519 Phone: 570-702-6268 | |
Mary Christine Vignola-robeson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 542 Boulevard Ave, Dickson City, PA 18519 Phone: 570-489-5010 Fax: 570-489-5060 | |
Ms. Patricia Ann King, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd #107, The Aaron Center, Dickson City, PA 18519 Phone: 570-489-5561 | |
Bridget Drust, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 542 Boulevard Ave, Dickson City, PA 18519 Phone: 570-489-5010 Fax: 570-489-5060 |