| Lisa Carol Sandoval, MS CCC-SLP | |
|
3166 E Palmdale Blvd Ste 112, Palmdale, CA 93550-5038 | |
| (661) 274-8454 | |
| (661) 274-7614 |
| Full Name | Lisa Carol Sandoval |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3166 E Palmdale Blvd Ste 112, Palmdale, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740593748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 11463 (California) | Primary |
| Provider Name | Dynamic Therapy Solutions And Dyslexia Center, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265711998 PECOS PAC ID: 6709058654 Enrollment ID: O20180305000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Carol Sandoval, MS CCC-SLP 3166 E Palmdale Blvd Ste 112, Palmdale, CA 93550-5038 Ph: (661) 274-8454 | Lisa Carol Sandoval, MS CCC-SLP 3166 E Palmdale Blvd Ste 112, Palmdale, CA 93550-5038 Ph: (661) 274-8454 |
Shenal Chapman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 190 Sierra Ct Ste B6, Palmdale, CA 93550 Phone: 323-426-6402 | |
Bridget M Lensing, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3300 E Palmdale Blvd, Palmdale, CA 93550 Phone: 661-273-3680 | |
Mrs. Doreen Livier Meza, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3166 E Palmdale Blvd, Palmdale, CA 93550 Phone: 661-274-8454 Fax: 661-274-7614 | |
Miss Susan Beth Cahill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3167 Rancho Vista Blvd, Suite D, Palmdale, CA 93551 Phone: 661-266-9578 Fax: 661-266-2208 | |
Michelle Lynn Hoeltgen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4241 Sungate Drive, Palmdale, CA 93551 Phone: 661-673-3559 | |
Jody Pla, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 190 Sierra Ct Ste B6, Palmdale, CA 93550 Phone: 323-426-6402 | |
Hazel Ivette Perdomo, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3166 E Palmdale Blvd Ste 112, Palmdale, CA 93550 Phone: 661-274-8454 Fax: 661-274-7614 |