| Stevenson Prussner, CCC-SLP | |
|
1910 E Apple Ave Ste Gh, Muskegon, MI 49442-4281 | |
| (231) 333-9148 | |
| Not Available |
| Full Name | Stevenson Prussner |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1910 E Apple Ave Ste Gh, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992410567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101008648 (Michigan) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Stevenson Prussner, CCC-SLP 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (142) 944-0509 | Stevenson Prussner, CCC-SLP 1910 E Apple Ave Ste Gh, Muskegon, MI 49442-4281 Ph: (231) 333-9148 |
Gwendolyn Rene Horning, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-4188 | |
Julia Tans, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1910 E Apple Ave Ste H, Muskegon, MI 49442 Phone: 231-333-9148 | |
Mrs. Lea Dawn Norbotten, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1080 E Sternberg Rd, Muskegon, MI 49444 Phone: 231-799-2200 Fax: 231-799-2201 | |
Swan Marie Reddy, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-4188 | |
Michelle Clockman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 695 Mitzi St, Muskegon, MI 49445 Phone: 231-744-1641 | |
Amy D Ballot, MA,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 635 W Summit Ave, Muskegon, MI 49441 Phone: 888-488-9030 | |
Ms. Kelly Rimbey, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-1300 |