Sarah Wooten, CCC-SLP | |
4321 Wallaby Ct, Antioch, CA 94531-7797 | |
(925) 759-5113 | |
(925) 759-5113 |
Full Name | Sarah Wooten |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4321 Wallaby Ct, Antioch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386142263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP26168 (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 |
---|---|
Sarah Wooten, CCC-SLP 4321 Wallaby Ct, Antioch, CA 94531-7797 Ph: (925) 759-5113 | Sarah Wooten, CCC-SLP 4321 Wallaby Ct, Antioch, CA 94531-7797 Ph: (925) 759-5113 |
Diana J Sadiasa-chua, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1210 A Street, Antioch, CA 94509 Phone: 925-776-5625 Fax: 925-757-0702 | |
Melissa Rivera, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1207 Beverly St, Antioch, CA 94509 Phone: 925-864-3811 | |
Gabrielle Angeles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1210 A St, Antioch, CA 94509 Phone: 925-757-8787 | |
Jane Oliver Wallis, M.S-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6420 | |
Norma Delia Lozano Hernandez, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6500 | |
Summit Speech Language Pathology Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5538 Coachford Way, Antioch, CA 94531 Phone: 925-503-3533 |