Mrs Susan Ruth Pollesel, MA CCC SP is a
Speech-language Pathologist based in Ukiah, California. Mrs Susan Ruth Pollesel is licensed to practice in California (license number SP003652) and her current practice location is
793 S Dora St, Ukiah, California. She can be reached at her office (for appointments etc.) via phone at
(707) 468-5193.
NPI number for Mrs Susan Ruth Pollesel is 1104095314 and her current mailing address is Po Box 1462, Ukiah, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104095314.
Healthcare Provider's Profile
Full Name | Mrs Susan Ruth Pollesel |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 793 S Dora St, Ukiah, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104095314
- Provider Enumeration Date: 02/21/2008
- Last Update Date: 02/21/2008
Medical Identifiers
Medical identifiers for Mrs Susan Ruth Pollesel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104095314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP003652 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susan Ruth Pollesel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Susan Ruth Pollesel, MA CCC SP Po Box 1462, Ukiah, CA 95482-1462 Ph: (707) 468-5193 | Mrs Susan Ruth Pollesel, MA CCC SP 793 S Dora St, Ukiah, CA 95482-5335 Ph: (707) 468-5193 |
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