Colleen Diaz, SLP | |
2851 Park Ave, Santa Clara, CA 95050-6006 | |
(408) 243-7861 | |
Not Available |
Full Name | Colleen Diaz |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2851 Park Ave, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396209458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | RPE12509 (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 |
---|---|
Colleen Diaz, SLP 2851 Park Ave, Santa Clara, CA 95050-6006 Ph: (408) 243-7861 | Colleen Diaz, SLP 2851 Park Ave, Santa Clara, CA 95050-6006 Ph: (408) 243-7861 |
Viridiana Delgadillo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 275 Saratoga Ave Ste 160, Santa Clara, CA 95050 Phone: 408-337-2727 | |
Colette Piccioni, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Kaiser Permanente-speech Therapy Dept., Santa Clara, CA 95051 Phone: 408-851-1000 | |
Cassandra Ngo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 275 Saratoga Ave Ste 160, Santa Clara, CA 95050 Phone: 408-337-2727 | |
Joanie Tam Guttadauro, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3900 Freedom Cir Ste 201, Santa Clara, CA 95054 Phone: 408-235-4000 | |
Tanya Guerrero, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 Phone: 408-807-6807 | |
Mrs. Brittany Lee Bianchi, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 Phone: 631-241-2783 | |
Ms. Priscilla Purushothaman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pruneridge Ave, Santa Clara, CA 95050 Phone: 267-806-8512 |