Sydney Brotherton, SLP | |
1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | |
(515) 222-7350 | |
(515) 222-7355 |
Full Name | Sydney Brotherton |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1601 Nw 114th St Ste 155, Clive, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043074701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 100787 (Iowa) | Primary |
Provider Name | Mercy Clinics Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457691941 PECOS PAC ID: 7911810882 Enrollment ID: O20031112000238 |
Mailing Address | Practice Location Address |
---|---|
Sydney Brotherton, SLP Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 222-7350 | Sydney Brotherton, SLP 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 Ph: (515) 222-7350 |
Mrs. Carrie L Berg, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2555 Berkshire Pkwy Ste B, Clive, IA 50325 Phone: 515-987-8835 | |
Mrs. Elizabeth Huizenga, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2555 Berkshire Pkwy Ste B, Clive, IA 50325 Phone: 515-987-8835 | |
Megan Mobley, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13300 Hickman Rd, Ste 110, Clive, IA 50325 Phone: 515-987-8835 Fax: 515-987-4637 | |
Rachel Wakefield, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13300 Hickman Rd, Ste 110, Clive, IA 50325 Phone: 515-987-8835 | |
Jeri Marlene Fyock, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13300 Hickman Rd Ste 110, Clive, IA 50325 Phone: 515-987-8835 Fax: 515-987-4637 | |
Susan Vanessen, M.A.,C.C.C. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2555 Berkshire Pkwy, Suite B, Clive, IA 50325 Phone: 515-987-8835 Fax: 515-987-4637 |