Ms Catherine L Wallace, CCC/SLP | |
170 17th St Ste B, Pacific Grove, CA 93950-7201 | |
(831) 318-0558 | |
Not Available |
Full Name | Ms Catherine L Wallace |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 170 17th St Ste B, Pacific Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366004780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | D7898365 (California) | Secondary |
235Z00000X | Speech-language Pathologist | 27865 (California) | Primary |
Provider Name | Monterey Bay Speech Therapy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336638634 PECOS PAC ID: 7315280955 Enrollment ID: O20190522000823 |
Mailing Address | Practice Location Address |
---|---|
Ms Catherine L Wallace, CCC/SLP 170 17th St Ste B, Pacific Grove, CA 93950-7201 Ph: (831) 318-0558 | Ms Catherine L Wallace, CCC/SLP 170 17th St Ste B, Pacific Grove, CA 93950-7201 Ph: (831) 318-0558 |
Amber Al-azzawi, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 667 Lighthouse Ave Ste 201, Pacific Grove, CA 93950 Phone: 831-318-0558 | |
Breona Gonzalez Alexander, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 667 Lighthouse Ave Ste 201, Pacific Grove, CA 93950 Phone: 831-318-0558 | |
Molly Kriva, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 230 Grove Acre Ave, #312, Pacific Grove, CA 93950 Phone: 262-391-8838 | |
Ms. Linda Patricia Gunn, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1004 David Ave, Pacific Grove, CA 93950 Phone: 909-961-7547 Fax: 888-588-6274 | |
Kayla Huenergardt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 667 Lighthouse Ave Ste 201, Pacific Grove, CA 93950 Phone: 831-318-0558 | |
Erin Bute, CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 667 Lighthouse Ave Ste 201, Pacific Grove, CA 93950 Phone: 831-318-0558 | |
Kelly Castillo, SLP-CCC Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 667 Lighthouse Ave Ste 305, Pacific Grove, CA 93950 Phone: 831-318-0558 |