Tracy Rozwodowski Mussatto, | |
4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | |
(248) 655-5880 | |
Not Available |
Full Name | Tracy Rozwodowski Mussatto |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4949 Coolidge Hwy, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497222764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101003165 (Michigan) | Primary |
Provider Name | Lakes Speech & Language Pathology Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215549902 PECOS PAC ID: 0143631010 Enrollment ID: O20201125000228 |
Mailing Address | Practice Location Address |
---|---|
Tracy Rozwodowski Mussatto, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: () - | Tracy Rozwodowski Mussatto, 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 Ph: (248) 655-5880 |
Erin Reaume, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4949 Coolidge Hwy, Royal Oak, MI 48073 Phone: 248-655-5975 | |
Mrs. Keri Rose, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3604 W Webster Rd, Royal Oak, MI 48073 Phone: 734-497-8128 | |
Caitlin Forrest Onuscheck, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-202-8628 | |
Gina Marie Iaquinto, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1102 Edgewood Dr, Royal Oak, MI 48067 Phone: 248-229-4462 | |
Valerie Sawyer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4949 Coolidge Hwy, Royal Oak, MI 48073 Phone: 248-655-5695 | |
Leah Toltesi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4949 Coolidge Hwy, Royal Oak, MI 48073 Phone: 248-655-5800 | |
Patricia Nizio, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4949 Coolidge Hwy, Royal Oak, MI 48073 Phone: 248-655-5975 |