| Ms Susan Mary Ann Ultsch, MS,CCC-SLP | |
|
30 N San Pedro Rd, Suite 265, San Rafael, CA 94903-4118 | |
| (415) 479-7880 | |
| (415) 479-7889 |
| Full Name | Ms Susan Mary Ann Ultsch |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 37 Years |
| Location | 30 N San Pedro Rd, San Rafael, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215050505 | NPI | - | NPPES |
| 6933 | Other | CA | SPEECH PATHOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6933 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | 7315352911 | 75 |
| Provider Name | Rehab Alliance |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316987126 PECOS PAC ID: 7719886720 Enrollment ID: O20040107000997 |
| Provider Name | Village Health Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730680810 PECOS PAC ID: 2567726987 Enrollment ID: O20180510000679 |
| Provider Name | Sand Coast Rehab Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Mary Ann Ultsch, MS,CCC-SLP 403 Shoreline Hwy, Mill Valley, CA 94941-3762 Ph: (415) 383-0121 | Ms Susan Mary Ann Ultsch, MS,CCC-SLP 30 N San Pedro Rd, Suite 265, San Rafael, CA 94903-4118 Ph: (415) 479-7880 |
Mrs. Jennifer Kate Moore, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-889-3833 | |
Erica De Guzman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1600 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-4013 | |
Kathleen O'hara Hemlock, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 122 Paul Dr, Suite A, San Rafael, CA 94903 Phone: 415-577-4210 | |
Hannah Mcneill, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 317 D St, San Rafael, CA 94901 Phone: 415-377-6533 | |
Bianca Lana Havel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 232 Santa Margarita, San Rafael, CA 94901 Phone: 415-454-6340 | |
Elizabeth Seagrave, M.S. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2400 Las Gallinas Ave, Ste 135a, San Rafael, CA 94903 Phone: 415-326-3315 Fax: 855-975-3010 | |
Anne Mathew, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-7400 |