Teresa Michelle Johnson, MS CF-SLP | |
245 N 3rd E, Mountain Home, ID 83647-2734 | |
(208) 587-8255 | |
Not Available |
Full Name | Teresa Michelle Johnson |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 6 Years |
Location | 245 N 3rd E, Mountain Home, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225517717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | TSLP-3578 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Therapy Care Pllc | 6406049469 | 2 |
Provider Name | Advanced Therapy Care Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477786358 PECOS PAC ID: 6406049469 Enrollment ID: O20101022000150 |
Mailing Address | Practice Location Address |
---|---|
Teresa Michelle Johnson, MS CF-SLP 245 N 3rd E, Mountain Home, ID 83647-2734 Ph: (208) 587-8255 | Teresa Michelle Johnson, MS CF-SLP 245 N 3rd E, Mountain Home, ID 83647-2734 Ph: (208) 587-8255 |
Miss Terri Lynn Grasham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 | |
Karissa Rutten, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 | |
Rachelle Ruffing, MSCCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-599-2536 Fax: 208-587-5734 | |
Ms. Anna Gale Estes-waddell, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1653 Se Hamilton Rd, Mountain Home, ID 83647 Phone: 208-587-4658 | |
Makenzi Walsh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-898-0988 | |
Jessica Cristobal, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 |