| Jordan Nicole Millitello, CCC-SLP | |
|
675 Ygnacio Valley Rd, Walnut Creek, CA 94596-3860 | |
| (510) 639-2929 | |
| Not Available |
| Full Name | Jordan Nicole Millitello |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 675 Ygnacio Valley Rd, Walnut Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760981757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 32422 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| 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 |
|---|---|
| Jordan Nicole Millitello, CCC-SLP 229 Polaris Ave Ste 14, Mountain View, CA 94043-4579 Ph: () - | Jordan Nicole Millitello, CCC-SLP 675 Ygnacio Valley Rd, Walnut Creek, CA 94596-3860 Ph: (510) 639-2929 |
Linda Marie Heckenlively, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-906-2268 Fax: 925-902-2255 | |
Mrs. Kelly Ann Mason, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 877 Ygnacio Valley Rd, Walnut Creek, CA 94596 Phone: 925-932-3656 | |
Koning Speech And Language Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2729 Kinney Dr, Walnut Creek, CA 94595 Phone: 925-297-5837 Fax: 844-629-3636 | |
Liz Severin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Mrs. Catherine Linda Wegner, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2021 Ygnacio Valley Rd Ste C103, Walnut Creek, CA 94598 Phone: 925-945-1474 Fax: 925-945-1768 | |
Olivia Spinosa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 675 Ygnacio Valley Rd Ste B212, Walnut Creek, CA 94596 Phone: 510-250-9199 | |
Mr. Craig Steven Mcintire-mann, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14 Oak Treat Ct, Walnut Creek, CA 94597 Phone: 925-308-5717 |