Tana Wiebers, | |
1623 E Maryland Ave, Phoenix, AZ 85016-1301 | |
(602) 359-3476 | |
Not Available |
Full Name | Tana Wiebers |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1623 E Maryland Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023234895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4312 (Arizona) | Primary |
Provider Name | Theraplay4kidz, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750727798 PECOS PAC ID: 3476823972 Enrollment ID: O20190321000727 |
Mailing Address | Practice Location Address |
---|---|
Tana Wiebers, 1623 E Maryland Ave, Phoenix, AZ 85016-1301 Ph: () - | Tana Wiebers, 1623 E Maryland Ave, Phoenix, AZ 85016-1301 Ph: (602) 359-3476 |
Monica Fales, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1817 N 7th St, Phoenix, AZ 85006 Phone: 602-257-3755 | |
Susan E Krantz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20402 N 15th Ave, Phoenix, AZ 85027 Phone: 623-445-4952 Fax: 623-445-5079 | |
Rebecca Mathews, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 E Muriel Dr, Phoenix, AZ 85022 Phone: 602-350-1145 | |
Berit Bilquist, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-368-8601 | |
Miss Katheryn Reifer, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4417 N 66th Ave, Phoenix, AZ 85033 Phone: 623-691-2548 | |
Amelia Liliana Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 E Grovers Ave, Phoenix, AZ 85032 Phone: 602-449-5200 | |
Kelsey Rae Benjaminson, SLPA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20033 N 19th Ave Ste 121, Phoenix, AZ 85027 Phone: 602-875-5616 Fax: 623-227-2030 |