| Kristin Elizabeth Pitera, | |
|
18576 Morongo St, Fountain Valley, CA 92708-6206 | |
| (714) 791-7210 | |
| Not Available |
| Full Name | Kristin Elizabeth Pitera |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 18576 Morongo St, Fountain Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033616735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | RPE11960 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP.0004276 (Colorado) | Primary |
| Provider Name | Synergy Care Southeast Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
| Provider Name | Fox Rehabilitation Services Tx Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710582580 PECOS PAC ID: 7113330879 Enrollment ID: O20210119002550 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Elizabeth Pitera, 18576 Morongo St, Fountain Valley, CA 92708-6206 Ph: () - | Kristin Elizabeth Pitera, 18576 Morongo St, Fountain Valley, CA 92708-6206 Ph: (714) 791-7210 |
Ms. Lindsay Kathryn Shaw, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St, #105, Fountain Valley, CA 92708 Phone: 714-965-2324 Fax: 714-965-2684 | |
Mrs. Amy Deeb, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 17075 Bushard St, Fountain Valley, CA 92708 Phone: 855-901-7742 | |
Providence Speech And Hearing Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17075 Bushard St, Fountain Valley, CA 92708 Phone: 855-901-7742 | |
Betty Chien Lee, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-3383 | |
Alicia Carroll, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11037 Warner Ave, #339, Fountain Valley, CA 92708 Phone: 503-298-5359 Fax: 949-253-4627 | |
Miss Eileen Kay Morrissey, M.S. CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St Ste 105, Fountain Valley, CA 92708 Phone: 714-965-2324 Fax: 714-965-2684 |