Miss Katrina Wilson, | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-1320 | |
Not Available |
Full Name | Miss Katrina Wilson |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396999355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Permanente Medical Group Inc |
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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 |
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Miss Katrina Wilson, 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: () - | Miss Katrina Wilson, 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1320 |
Alice Nicholls, M.S., SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1320 | |
Cara Cosce, MS Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1320 Fax: 707-651-2308 | |
Laura Krumme, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1044 Heartwood Ave, Vallejo, CA 94591 Phone: 707-643-2267 | |
Itherapy, A Speech Pathology Corporation Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 955 Walnut Avenue, Vallejo, CA 94592 Phone: 707-651-9915 | |
Gianna Nardone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Mr. Thomas William Hickey, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1527 Springs Rd, Vallejo, CA 94591 Phone: 707-643-2793 | |
Olivia On Yi Chu, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1320 |