Brandee Lyn Smith, MS CCC SLP | |
1547 Lexington Dr, Lodi, CA 95242 | |
(209) 663-7238 | |
Not Available |
Full Name | Brandee Lyn Smith |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1547 Lexington Dr, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114286093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 17427 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Brandee Lyn Smith, MS CCC SLP 1547 Lexington Dr, Lodi, CA 95242 Ph: (209) 663-7238 | Brandee Lyn Smith, MS CCC SLP 1547 Lexington Dr, Lodi, CA 95242 Ph: (209) 663-7238 |
Mrs. Tamara Leah Lang, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7141 | |
Colleen Adair Selling, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 W Tokay St, Ste.8, Lodi, CA 95240 Phone: 209-367-8547 | |
Carol Kooyman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 831 So. Lee Ave., Lodi, CA 95240 Phone: 209-747-4304 | |
Ariel Rene Correa, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1812 W Kettleman Ln Ste 2c, Lodi, CA 95242 Phone: 209-470-2981 | |
Mrs. Sara Marie Peterson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 W Tokay St, Suite 8, Lodi, CA 95240 Phone: 209-334-0830 | |
Mackenzie Shiba, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1812 W Kettleman Ln, Lodi, CA 95242 Phone: 209-242-4606 |