Mrs Therese Marie Loutherback, MED is a
Speech-language Pathologist based in Corona Del Mar, California. Mrs Therese Marie Loutherback is licensed to practice in California (license number SP1178) and her current practice location is
53 Cambria Dr, Corona Del Mar, California. She can be reached at her office (for appointments etc.) via phone at
(714) 928-0858.
NPI number for Mrs Therese Marie Loutherback is 1558503714 and her current mailing address is 53 Cambria Dr, Corona Del Mar, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558503714.
Healthcare Provider's Profile
Full Name | Mrs Therese Marie Loutherback |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 53 Cambria Dr, Corona Del Mar, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558503714
- Provider Enumeration Date: 04/01/2009
- Last Update Date: 04/01/2009
Medical Identifiers
Medical identifiers for Mrs Therese Marie Loutherback such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558503714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP1178 (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 Therese Marie Loutherback 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 Therese Marie Loutherback, MED 53 Cambria Dr, Corona Del Mar, CA 92625-1004 Ph: (714) 928-0858 | Mrs Therese Marie Loutherback, MED 53 Cambria Dr, Corona Del Mar, CA 92625-1004 Ph: (714) 928-0858 |
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