Ms Betsy R De La Rosa, MA, CFY-SLP | |
3600 Lind Ave Sw Ste 160, Renton, WA 98057-4934 | |
(425) 690-3513 | |
(425) 690-9513 |
Full Name | Ms Betsy R De La Rosa |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3600 Lind Ave Sw Ste 160, Renton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386011765 | NPI | - | NPPES |
215572 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | LL61033853 (Washington) | Primary |
235Z00000X | Speech-language Pathologist | 9560 (Minnesota) | Secondary |
Provider Name | Valley Medical Group-renton |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Ms Betsy R De La Rosa, MA, CFY-SLP 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Ms Betsy R De La Rosa, MA, CFY-SLP 3600 Lind Ave Sw Ste 160, Renton, WA 98057-4934 Ph: (425) 690-3513 |
Catherine A Mickelson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-251-5165 Fax: 425-656-4028 | |
Kelley Ngo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16022 116th Ave Se, Renton, WA 98058 Phone: 425-204-3365 | |
Matthew Loughlin-presnal, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 Sw 7th St, Renton, WA 98057 Phone: 425-204-3684 | |
Vanessa R Isom, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-251-5165 Fax: 425-656-4028 | |
Claire Engelbrecht, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 Sw 7th St, Renton, WA 98057 Phone: 425-204-2285 | |
Fiona Kwong, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 Sw 7th St, Renton, WA 98057 Phone: 425-204-2365 | |
Erin Lafferty, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 Sw 7th St, Renton, WA 98057 Phone: 425-204-2285 |