29th Street Therapy in Chickasha, OK - Speech-Language Pathologist

29th Street Therapy is a Speech-language Pathologist based in Chickasha, Oklahoma. 29th Street Therapy is licensed to practice in Oklahoma (license number 4251) and their current practice location is 1211 S 29th St, Chickasha, Oklahoma. It can be reached at their office (for appointments etc.) via phone at (405) 224-0002.

NPI number for 29th Street Therapy is 1578957684 and their current mailing address is 1211 S 29th St, Chickasha, Oklahoma. 29th Street Therapy does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578957684.

Contact Information

	29th Street Therapy
	1211 S 29th St, Chickasha, OK 73018-9651
	(405) 224-0002
	(405) 224-0133

Healthcare Provider's Profile

Full Name	29th Street Therapy
Type	Facility
Speciality	Speech-language Pathologist
Location	1211 S 29th St, Chickasha, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1578957684
Provider Enumeration Date: 03/26/2015
Last Update Date: 03/26/2015

Medical Identifiers

Medical identifiers for 29th Street Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578957684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4251 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. 29th Street Therapy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
29th Street Therapy 1211 S 29th St, Chickasha, OK 73018-9651 Ph: (405) 224-0002	29th Street Therapy 1211 S 29th St, Chickasha, OK 73018-9651 Ph: (405) 224-0002

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Speech-Language Pathologist in Chickasha, OK

Mrs. Colette Leonie Ellis, M.ED.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 S 29th St, Chickasha, OK 73018 Phone: 405-224-0002 Fax: 405-224-0133
Ashley Dawn Shell, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 S 29th St, Chickasha, OK 73018 Phone: 405-224-0002 Fax: 405-224-0133
David Brent Moore, MSCCC/SLP BCHIS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2201 W Iowa Ave Ste 5, Chickasha, OK 73018 Phone: 405-222-4444 Fax: 405-222-4402
Lisa L Dunkin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2806 Country Club Dr, Chickasha, OK 73018 Phone: 405-589-0874
Therapies United Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 S 2nd St, Chickasha, OK 73018 Phone: 405-574-6836 Fax: 405-825-3290
Kindle Dawn Nelms, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 S 29th St, Chickasha, OK 73018 Phone: 405-224-0002
Natalie-jill Ellen Wilkinson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 S 29th St, Chickasha, OK 73018 Phone: 405-224-0002

29th Street Therapy - Speech-Language Pathologist in Chickasha, OK