Gregory Sewell, MS CCC-SLP | |
531 Larkhall Ave, Duarte, CA 91010-1512 | |
(626) 840-6139 | |
Not Available |
Full Name | Gregory Sewell |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 531 Larkhall Ave, Duarte, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598996845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP 9462 (California) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962001446 PECOS PAC ID: 2365359932 Enrollment ID: O20140731000901 |
Mailing Address | Practice Location Address |
---|---|
Gregory Sewell, MS CCC-SLP 531 Larkhall Ave, Duarte, CA 91010-1512 Ph: (626) 840-6139 | Gregory Sewell, MS CCC-SLP 531 Larkhall Ave, Duarte, CA 91010-1512 Ph: (626) 840-6139 |
Mikaila Anne Valenzuela, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1340 Highland Ave, Duarte, CA 91010 Phone: 626-256-4654 | |
Mrs. Miranda Portesi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 819 Buena Vista St, Duarte, CA 91010 Phone: 626-359-3243 | |
Kaitlin Valdez-sanqui, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-218-0040 | |
Gene Kichkla, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1220 Huntington Dr, Duarte, CA 91010 Phone: 626-359-6618 | |
Hygine Kwon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1220 Huntington Dr, Duarte, CA 91010 Phone: 626-359-6618 | |
Therese Ann Mercica, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 819 Buena Vista St, Duarte, CA 91010 Phone: 626-932-3439 Fax: 626-358-5083 | |
Su-jen Shie, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 515 Euclid Ave, Duarte, CA 91010 Phone: 909-576-1081 |