Ms Nicole Susanne Perrotta, MA, CCC-SLP | |
3707 E Livingston Dr Unit 404, Long Beach, CA 90803-2742 | |
(310) 999-8665 | |
Not Available |
Full Name | Ms Nicole Susanne Perrotta |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3707 E Livingston Dr Unit 404, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538653332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 19046 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Ms Nicole Susanne Perrotta, MA, CCC-SLP 3707 E Livingston Dr Unit 404, Long Beach, CA 90803-2742 Ph: (310) 999-8665 | Ms Nicole Susanne Perrotta, MA, CCC-SLP 3707 E Livingston Dr Unit 404, Long Beach, CA 90803-2742 Ph: (310) 999-8665 |
Taylor Peck, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3649 Atlantic Ave Ste C, Long Beach, CA 90807 Phone: 562-209-3254 | |
Monique Trezise, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2334 Canehill Ave, Long Beach, CA 90815 Phone: 562-326-0462 | |
Michaela Sanger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Brenda Schenkelberg, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 249 E Ocean Blvd Ste 400, Long Beach, CA 90802 Phone: 888-808-7838 Fax: 888-808-7838 | |
Melissa Von Leffern, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4435 Cerritos Ave, Long Beach, CA 90807 Phone: 562-818-4049 | |
Dr. Margaret Vento-wilson, PHD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3711 Long Beach Blvd, Suite 5046, Long Beach, CA 90807 Phone: 562-243-2334 Fax: 562-988-0888 | |
Stephanie Michelle Martinez, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1017 Chestnut Ave, Long Beach, CA 90813 Phone: 562-441-7412 |