| Ted Matthew Isaacson, MS CCC SLP | |
|
191 West Burton Mesa Blvd, Suite B, Lompoc, CA 93436 | |
| (805) 733-4542 | |
| (805) 733-4392 |
| Full Name | Ted Matthew Isaacson |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 191 West Burton Mesa Blvd, Lompoc, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043385727 | NPI | - | NPPES |
| 0663623 | Other | CA | TRIWEST |
| GSP000390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP12824 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ted Matthew Isaacson, MS CCC SLP 108 N Z St, Lompoc, CA 93436 Ph: (805) 736-0363 | Ted Matthew Isaacson, MS CCC SLP 191 West Burton Mesa Blvd, Suite B, Lompoc, CA 93436 Ph: (805) 733-4542 |
Miss Nancy Mcmahon Brown, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 191 West Burton Mesa, Suite B, Lompoc, CA 93436 Phone: 805-733-4542 Fax: 805-733-4392 | |
Tracy M Jason, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 191 West Burton Mesa Blvd, Ste C, Lompoc, CA 93436 Phone: 805-733-4542 Fax: 805-733-4392 | |
Mrs. Carol Elisabeth Fellers, MA CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 191 West Burton Mesa Blvd, Ste B, Lompoc, CA 93436 Phone: 805-733-4542 Fax: 805-733-4392 | |
Mrs. Christina Denise Kleckner, MA/CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 191 Burton Mesa Blvd, Suite B, Lompoc, CA 93436 Phone: 805-733-4542 Fax: 805-733-4392 | |
Mrs. Renee Louise Ann Jacobsen, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 191 West Burton Mesa Blvd, Suite B, Lompoc, CA 93436 Phone: 805-733-4542 Fax: 805-733-4392 | |
Mrs. Barbara Ellen Stiles-spitler, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 191 Burton Mesa Blvd Ste B, Lompoc, CA 93436 Phone: 805-733-4542 |