| Nabonita Dutta, | |
|
7300 N Fresno St, Fresno, CA 93720 | |
| (559) 448-4500 | |
| Not Available |
| Full Name | Nabonita Dutta |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7300 N Fresno St, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699916122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 13916 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Nabonita Dutta, 10574 N Spanish Bay Dr, Fresno, CA 93730-5923 Ph: (559) 301-6891 | Nabonita Dutta, 7300 N Fresno St, Fresno, CA 93720 Ph: (559) 448-4500 |
Tenaya Latrice Yarbrough-maxwell, M.A.-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4602 W Oslin Ave, Fresno, CA 93722 Phone: 559-761-3813 | |
Mrs. Jodi Megumi Alatorre, M.A.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1351 E Spruce Ave, Fresno, CA 93720 Phone: 559-432-3303 | |
Shannon Johnson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2505 W Shaw Ave Bldg A, Fresno, CA 93711 Phone: 559-228-9100 Fax: 559-228-9200 | |
Sabrina Baisdon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1752 E Bullard Ave Ste 101, Fresno, CA 93710 Phone: 559-970-8277 | |
Ms. Tracy D. Carroll, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5100 N 6th St, Suite 115a, Fresno, CA 93710 Phone: 559-978-0701 Fax: 559-324-0541 | |
Elsa Maria Castillo, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Clinton Ave, Fresno, CA 93703 Phone: 559-225-6100 | |
Simpson Speech And Language Therapy Services, Pc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2405 Tulare St Ste 200, Fresno, CA 93721 Phone: 559-797-1873 Fax: 559-472-3076 |