| Erick Stephen Heslet, MA, MFT, RAS | |
|
39001 Sundale Dr, Fremont, CA 94538-2005 | |
| (510) 574-4819 | |
| (510) 574-4862 |
| Full Name | Erick Stephen Heslet |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 39001 Sundale Dr, Fremont, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437385598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC41558 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Erick Stephen Heslet, MA, MFT, RAS 39001 Sundale Dr, Fremont, CA 94538-2005 Ph: (510) 574-4819 | Erick Stephen Heslet, MA, MFT, RAS 39001 Sundale Dr, Fremont, CA 94538-2005 Ph: (510) 574-4819 |
Casia Ravi, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste E500, Fremont, CA 94538 Phone: 510-574-2157 | |
Barbara Allen Maki, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39217 Liberty St Ste B-10, Fremont, CA 94538 Phone: 510-791-3322 Fax: 519-791-3325 | |
Rhondda Zude, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St, Suite #e500, Fremont, CA 94538 Phone: 510-574-2100 | |
Benedicta Ott, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste E500, Fremont, CA 94538 Phone: 510-574-2100 | |
Sarita Mokha, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste E500, Fremont, CA 94538 Phone: 510-574-2100 | |
Nutsa Khakhiashvili, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39159 Paseo Padre Pkwy Ste 121, Fremont, CA 94538 Phone: 544-928-7954 | |
Mr. Frederic Morrison, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39803 Paseo Padre Pkwy Ste C, Fremont, CA 94538 Phone: 510-435-5326 Fax: 510-244-4787 |