| Miss Le Etta Lynn Vanderpool, SLP | |
|
1301 W Providence Ave, Orange, CA 92868-3808 | |
| (714) 639-3990 | |
| (714) 744-3841 |
| Full Name | Miss Le Etta Lynn Vanderpool |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1301 W Providence Ave, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508935594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 10142 (California) | Primary |
| Provider Name | Providence Speech & Hearing Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215993704 PECOS PAC ID: 5698686871 Enrollment ID: O20040130001067 |
| Provider Name | Children's Hospital Of Orange County |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275975104 PECOS PAC ID: 6406944883 Enrollment ID: O20181213000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Le Etta Lynn Vanderpool, SLP 1202 S Berkley St, Anaheim, CA 92804-4607 Ph: (714) 761-0542 | Miss Le Etta Lynn Vanderpool, SLP 1301 W Providence Ave, Orange, CA 92868-3808 Ph: (714) 639-3990 |
Mrs. Ayren Ellen Dreyer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Janelle Briana Cubas, B.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Summer Gingrich, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Patricia Marie Rossi, T-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-923-1527 Fax: 714-639-2282 | |
Sarah Kim Chang, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 S Flower St Ste 100, Orange, CA 92868 Phone: 714-683-5876 | |
Yomna Elsiddig, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Tracy Morillo, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 |