Susan Fackler, | |
1966 Garrett Rd, Brandenburg, KY 40108-6343 | |
(502) 648-7696 | |
Not Available |
Full Name | Susan Fackler |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1966 Garrett Rd, Brandenburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588054589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLPINP00216497 (Kentucky) | Primary |
Provider Name | Capacity Care,inc |
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Provider Type | Part B Supplier - Other |
Provider Identifiers | NPI Number: 1790972768 PECOS PAC ID: 9830561869 Enrollment ID: O20230220002542 |
Mailing Address | Practice Location Address |
---|---|
Susan Fackler, 1966 Garrett Rd, Brandenburg, KY 40108-6343 Ph: (502) 648-7696 | Susan Fackler, 1966 Garrett Rd, Brandenburg, KY 40108-6343 Ph: (502) 648-7696 |
Mrs. Lisa G Tindell, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 814 Old Ekron Rd, Brandenburg, KY 40108 Phone: 270-422-2148 Fax: 270-422-4791 | |
Mrs. Erin Percefull Jarvis, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 116 Warbler Rd, Brandenburg, KY 40108 Phone: 270-422-8198 Fax: 270-422-8197 | |
Milestones Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1966 Garrett Rd, Brandenburg, KY 40108 Phone: 502-648-7696 | |
Mrs. Melissa G Bland, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 97 Rolling Ridge Ct, Brandenburg, KY 40108 Phone: 502-641-4945 |