| Katie Danielle Medrano, MA, CCC-SLP | |
|
800 E Ohio Ave, Escondido, CA 92025-3421 | |
| (760) 747-1275 | |
| Not Available |
| Full Name | Katie Danielle Medrano |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 800 E Ohio Ave, Escondido, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790321206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 13317 (California) | Primary |
| Provider Name | Keneks Therapy Speech Therapy Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497111041 PECOS PAC ID: 1355690397 Enrollment ID: O20180823002484 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Danielle Medrano, MA, CCC-SLP 1349 S Chatham St, Visalia, CA 93277-4051 Ph: (559) 967-1389 | Katie Danielle Medrano, MA, CCC-SLP 800 E Ohio Ave, Escondido, CA 92025-3421 Ph: (760) 747-1275 |
Marie Winther, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-2730 | |
Carolina Echeverri, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 609-578-0211 | |
Christina Boekamp, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1325 Las Villas Way, Escondido, CA 92026 Phone: 619-375-7357 | |
Keri Michelle Schumacher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 E Ohio Ave, Escondido, CA 92025 Phone: 760-747-1275 | |
Samantha Miller, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2873 Quilters Dr, Escondido, CA 92029 Phone: 925-998-9955 | |
Beth Ann Westerlund, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 831 Ranrido Dr, Escondido, CA 92025 Phone: 760-525-0111 | |
Mrs. Pamela Erdman, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1120 Birch Ave, Escondido, CA 92027 Phone: 858-967-2687 |