| Dr Gerald Randall Speyer, MFT | |
|
11125 Campus St, Loma Linda, CA 92354-3227 | |
| (909) 558-4570 | |
| Not Available |
| Full Name | Dr Gerald Randall Speyer |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 11125 Campus St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245354794 | NPI | - | NPPES |
| MFC 42802 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 42802 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald Randall Speyer, MFT 11125 Campus St, Loma Linda, CA 92354-3227 Ph: (909) 558-4570 | Dr Gerald Randall Speyer, MFT 11125 Campus St, Loma Linda, CA 92354-3227 Ph: (909) 558-4570 |
Emily Bouit, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10940 Campus St, Loma Linda, CA 92354 Phone: 559-909-6627 | |
Jeffrey Branden Johnson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Daniells Hall Box Q-07 24920 Mound St, Loma Linda, CA 92350 Phone: 623-302-6216 | |
Mikayla Rose Zimmermann, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92350 Phone: 209-843-1299 | |
Alyssa Cook, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24898 Sanitarium Dr, Loma Linda, CA 92350 Phone: 407-866-9943 | |
Carol A. Jones, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11374 Mountain View Ave Ste A, Loma Linda, CA 92354 Phone: 909-558-4505 | |
Gazal Zein, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Griggs Hall - 11065 Campus St Loma Linda Ca 92350, Loma Linda, CA 92350 Phone: 909-558-1900 | |
Dr. Alex Stephen Alexander, PH.D. Couples Therapy Medicare: Medicare Enrolled Practice Location: 11771 Nelson St, Loma Linda, CA 92354 Phone: 949-207-8037 |