Speech Therapy Services | |
1421 Whispering Pines Dr, Scotts Valley, CA 95066-4632 | |
(209) 256-2742 | |
Not Available |
Full Name | Speech Therapy Services |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 1421 Whispering Pines Dr, Scotts Valley, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962150052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Leslie C Black |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1972760015 PECOS PAC ID: 0749668341 Enrollment ID: I20220610001401 |
Mailing Address | Practice Location Address |
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Speech Therapy Services 2460 17th Ave Ste 1041, Santa Cruz, CA 95062-1860 Ph: (831) 204-1908 | Speech Therapy Services 1421 Whispering Pines Dr, Scotts Valley, CA 95066-4632 Ph: (209) 256-2742 |
Mrs. Shawn Cory Cramer, M.S. CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 480 Tabor Dr., Scotts Valley, CA 95066 Phone: 831-246-2335 | |
Leslie C Black, M.S.,CCC/SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1421 Whispering Pines Drive, Scotts Valley, CA 95066 Phone: 831-204-1908 Fax: 801-942-5955 |