| Tara Richardson, | |
|
1252 S Avondale Blvd, Avondale, AZ 85323-8900 | |
| (623) 478-5700 | |
| Not Available |
| Full Name | Tara Richardson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1252 S Avondale Blvd, Avondale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598430464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Speakeasy Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114315801 PECOS PAC ID: 3870867369 Enrollment ID: O20170921003383 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Richardson, Po Box 280, Cashion, AZ 85329-0280 Ph: () - | Tara Richardson, 1252 S Avondale Blvd, Avondale, AZ 85323-8900 Ph: (623) 478-5700 |
Agua Fria Union High School Dist #216 Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1481 N Eliseo Felix Jr Way, Avondale, AZ 85323 Phone: 623-932-7141 | |
Mrs. Dawn Marie Flores, MS, CCC-SLP Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 1252 S Avondale Blvd, Avondale, AZ 85323 Phone: 623-478-5700 | |
Rodtree West Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12375 W Turney Ave, Avondale, AZ 85392 Phone: 602-690-1643 Fax: 602-535-0632 | |
Mrs. Jovia Darcelyn Dossou, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 401 W Van Buren St Ste C, Avondale, AZ 85323 Phone: 623-505-6307 Fax: 602-354-9408 | |
Madison Thielen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1585 N 113th Ave Ste 102, Avondale, AZ 85392 Phone: 623-259-9819 | |
Shawn K Troutman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 235 W Western Ave, Avondale, AZ 85323 Phone: 602-791-0934 | |
Vickie Prescott, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3852 N Carnation Ln, Avondale, AZ 85323 Phone: 623-877-4015 |